Dr. Jorgensen - Medical, allergy, and hearing professionals

New Patients

WELCOME TO OUR PRACTICE!

OUR GOAL IS TO PROVIDE QUALITY CARE TO OUR COMMUNITY IN A SAFE AND CARING ENVIRONMENT.

OUR POLICIES:

Appointment
We make every effort to see you on time for your appointment. We ask that you arrive 15 minutes prior to your appointment. If you arrive after your appointment time, you will be asked to reschedule.

Cancellations
We ask that you cancel at least 24 hours prior to your appointment whenever possible. Messages left on our answering machine are checked each morning when the office is open.

Snow Policy
In the event of severely inclement weather, we will make every effort to contact you regarding concellations. Please confirm with our office prior to your appointment.

Referrals
We are happy to see you at your doctor’s request, and we will send office notes for each visit. If you are self-referred, we will keep your doctor updated unless you request otherwise.

If you require a referral from your insurance company, you will be responsible for contacting your primary care doctor’s office for that referral. If we do not have that information at the time of your visit, you will be asked to sign a waiver prior to your appointment.

Prescription Requests
If you have been provide with samples to try and would like a prescription called to your pharmacy, please allow up to 24 hours to complete your request. Refills can be requested through your pharmacy.

Payment Policy
Payment for services not covered by your insurance is requested at the time of service. This would include any office co-pay as indicated by your insurance company.

Payment is due in advance for surgical procedures not covered by your insurance company. Please ask about our finance options with CareCredit and Citi Health Card.

Emergency and After Hours Calls
In the event of a life-threatening emergency, dial 911. Urgent calls made to our office during business hours will be directed to our medical staff. If you wish to leave a message for the next business day, you can call our main number at (603) 432- 8104. To leave a message with our answering service for more immediate attention, call (603) 437- 0805. The provider on call will be contacted for you.

Registration information
We ask that you arrive 15 minutes prior to your scheduled appointment to complete your registration forms. You can print and complete the forms prior to your appointment and either bring them with you, fax them to 603-434-2629.

Patient Forms

POST OPERATIVE INSTRUCTIONS
Endoscopic Sinus Surgery
Nasal Surgery
Septoplasty
Tonsils
Adenoids
Ear Tubes
Pediatric Tonsils & Adenoids

 

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