Tel: 609. 896.9190 Fax: 609.896.3555

Patient Information

Patient Forms: We recommend you print and fill the forms on this page before your appointment.     This will speed up the process especially if you are a new patient or if you have not been seen in this calendar year.Doc 012_

Please print the following 2 forms:

  1.   2017 Patient Demographics
  2.   Medical History Form

Additional Form (if needed):

Medical Records Release

Concussion/Head Trauma Symptom Form

Princeton Sports and Family Medicine offers two brochures for your convenience.  You can download to read or print these brochures:

Privacy Practices” and “Patients Rights

REGARDING REFERRALS:

If you are here to see one of our Sports Medicine Doctors and your Insurance requires a referral from your Primary Care Physician, and you do not have one, you cannot be seen.    Please call your Primary Care Physician and request the referral before you schedule an appointment.

If you are a current Sports Medicine patients, you must have an up to-date referral before being seen.

If one of our PSFM Doctors is your Primary Care Physician and your Insurance requires a referral before you can be seen by another Physician, or before you have Lab Work or Imaging Studies, our staff requires at least a 72 hour notice to submit your referral.

Please be aware that it is Your Responsibility to understand what is required by your insurance.  Thank you in advance for your co-operation.

 

Cancellation / No Show Policy:

We understand that there are times when you must miss your scheduled appointment due to emergencies or obligations for work or family. However, when you do not call to cancel your appointment, you may be preventing another patient from getting much needed treatment.

IF your appointment is NOT CANCELLED at least 24 hours in advance, you will be charged a fee of $30.00; this fee will NOT be covered by your insurance company.

Accepted Insurance Companies: At this time we accept following insurances. If you have any other insurance plan, please check with our office before making an appointment.

Aetna                                              Horizon Blue Cross Blue Shield of New Jersey                              AmeriHealth                                  Medicare

Beech Street                                  Horizon Blue Card                                                                               CHN Solutions                               United Health Care

Cigna                                               Devon                                                                                                     QualCare                                         Health Net

Oxford                                             Multi Plan                                                                                             Magnacare                                      Tricare

 

Princeton Sports and Family Medicine 3131 Princeton Pike, Building 4A, Suite 100 Lawrenceville, NJ 08648.

Tel: 609. 896.9190     Fax: 609.896.3555