Patient Information

Hospital Affiliations

Your First Appointment

Please arrive early so that we can complete your new patient paperwork. Also, please bring the following:

  • Photo ID
  • Patient’s insurance card
  • List of current prescriptions and/or over-the counter medication, including dose and frequency
  • Information about patient’s medical and surgical history
  • Recent rest results, x-rays, or relevant records

Patient Forms

To expedite your first visit, please click here:
Patient Portal

You may also print and fill out the following forms:

Insurance and Payment Information

Jeff Willoughby, M.D. is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing, please contact our Billing Department. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Privacy Practices

Our Privacy Policy Notice details how medical information about you may be used and disclosed and how you can get access to this information. A copy of our Privacy Policy Notice is given to all new patients, and a copy may also be found here on our website.