Patient Forms & Policies from Dr. Ali Ghomi

Before your appointment with us, quickly and conveniently access patient forms from our practice.

To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com. Please bring your completed forms with you to our office at the time of your visit.

• Frequently Asked Questions After Surgery
• St. Joseph Information for Surgery Patients
• Financial Policy for Tubal Reversal
• Tubal Reversal Checklist

Office Policies

Appointments

Appointments can be made during office hours by calling (862) 657-3150.

After Hours & Emergency Care

If you are experiencing an emergency, dial 911 or head to the nearest emergency room.

Prescription Renewals

Prescriptions are renewed during normal office hours. In some instances, we may require that patients be seen in our office prior to medication renewal.

Financial

All office visits are payable at the time of service. We accept cash, checks, and most major credit cards and debit cards. Please contact our billing office should you have any financial questions or concerns.