5841 Jameson Court, Suite 2, Carmichael 95608
Forms & Patient Information
For your convenience, we provide access to essential forms and educational materials that you can download and review before your visit. If you are a new patient, please ensure you review the forms listed below, along with any materials related to your specific condition.
Financial Information
VerityMD Inc. is in-network with most insurance providers. We also accept major credit cards for payment.
Cancellation Policy
We enforce a strict cancellation policy. Cancellations must be made at least two business days before your scheduled appointment to avoid a cancellation fee.
New Patient Registration
This form gathers all necessary information to register as a new patient, including personal details, medical history, and consent for treatment.
Telemedicine Consent and FAQs
This document explains the telemedicine process, including how virtual visits work, patient rights, and privacy protections.
Request for Information (for VerityMD)
This form allows patients to request their medical records from other healthcare providers for VerityMD.
Request for Information (from VerityMD to Other Healthcare Providers and Self)
This authorizes VerityMD to share medical information with other healthcare providers or entities as specified by the patient.
Patients to Download Adobe Reader for Free so they can easily read and sign these forms digitally.
Address
5841 Jameson Court, Suite 2, Carmichael 95608
Office Hours
Monday – Friday: 8:00 AM – 5:00 PM
Lunch Break: 12:00 PM – 1:00 PM
Weekend & After-Hours Appointments Available
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