Madhavi Kandula, M. D.Madhavi Kandula, M. D.Madhavi Kandula, M. D.


Patient Forms & Information Packets
All forms are in pdf format. Download a free pdf viewer here.

Complete New Patient Packet download complete packet
   
Forms Included:
New Patient Information download this form only
      Medical Questionaire download this form only
      Notice of Privacy Policy (HIPPA) download this form only
       

Insurance
We participate in a limited number of health insurance programs. Professional services are rendered to you, not your insurance company. You must present your insurance card at the time of your visit. If your insurance requires you to pay a co-pay for your office visit, this will be collected at the time of service. Our office will file insurance claims only for those plans in which the doctor participates. We will provide a receipt for you to submit to any plans in which we do not participate, in order to you to be reimbursed. Cosmetic services will not be submitted to insurance and payment in full is excepted at the time of service.

Prescription Refills
For routine refills, phone your pharmacy several days ahead of time. If necessary, the pharmacy will call our office. All requests should be made during our regular office hours so that our staff may have the benefit of access to your medical records. Prescription refill requests cannot be filled after one year from your last visit.

Telephone Calls
Please call our office if you have any questions regarding your condition, medication, or treatment. Our staff is specifically trained to answer your questions, arrange prescription refills, etc. It would be unfair to other patients if the doctor were to disrupt treatment to answer every phone call. If your call requires that Dr. Kandula needs to speak with you, then the doctor will return you call at the earliest opportunity.