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For New Patients | DiabetesandEndocrine.com

Error message

  • Warning: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time in drupal_environment_initialize() (line 698 of /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc).
  • Warning: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time in drupal_environment_initialize() (line 699 of /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc).
  • Warning: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time in drupal_environment_initialize() (line 700 of /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc).
  • Warning: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time in drupal_environment_initialize() (line 703 of /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc).
  • Warning: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time in drupal_environment_initialize() (line 705 of /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc).
  • Warning: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time in include_once() (line 267 of /home/customer/www/diabetesandendocrine.com/public_html/sites/default/settings.php).
  • Warning: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time in include_once() (line 268 of /home/customer/www/diabetesandendocrine.com/public_html/sites/default/settings.php).
  • Warning: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time in include_once() (line 276 of /home/customer/www/diabetesandendocrine.com/public_html/sites/default/settings.php).
  • Warning: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time in include_once() (line 283 of /home/customer/www/diabetesandendocrine.com/public_html/sites/default/settings.php).
  • Warning: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time in drupal_settings_initialize() (line 809 of /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc).
  • Warning: ini_set(): Headers already sent. You cannot change the session module's ini settings at this time in drupal_settings_initialize() (line 818 of /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc).
  • Warning: session_name(): Cannot change session name when headers already sent in drupal_settings_initialize() (line 821 of /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc).
  • Warning: session_set_save_handler(): Cannot change save handler when headers already sent in drupal_session_initialize() (line 242 of /home/customer/www/diabetesandendocrine.com/public_html/includes/session.inc).
  • Warning: session_id(): Cannot change session id when headers already sent in drupal_session_initialize() (line 266 of /home/customer/www/diabetesandendocrine.com/public_html/includes/session.inc).
  • Warning: Cannot modify header information - headers already sent by (output started at /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc(2) : eval()'d code(1) : eval()'d code:2) in drupal_send_headers() (line 1493 of /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc).
  • Warning: Cannot modify header information - headers already sent by (output started at /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc(2) : eval()'d code(1) : eval()'d code:2) in drupal_send_headers() (line 1493 of /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc).
  • Warning: Cannot modify header information - headers already sent by (output started at /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc(2) : eval()'d code(1) : eval()'d code:2) in drupal_send_headers() (line 1493 of /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc).
  • Warning: Cannot modify header information - headers already sent by (output started at /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc(2) : eval()'d code(1) : eval()'d code:2) in drupal_send_headers() (line 1493 of /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc).
  • Warning: Cannot modify header information - headers already sent by (output started at /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc(2) : eval()'d code(1) : eval()'d code:2) in drupal_send_headers() (line 1493 of /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc).
  • Warning: Cannot modify header information - headers already sent by (output started at /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc(2) : eval()'d code(1) : eval()'d code:2) in drupal_send_headers() (line 1493 of /home/customer/www/diabetesandendocrine.com/public_html/includes/bootstrap.inc).
  • Deprecated function: implode(): Passing glue string after array is deprecated. Swap the parameters in drupal_get_feeds() (line 393 of /home/customer/www/diabetesandendocrine.com/public_html/includes/common.inc).
  • Deprecated function: The each() function is deprecated. This message will be suppressed on further calls in menu_set_active_trail() (line 2405 of /home/customer/www/diabetesandendocrine.com/public_html/includes/menu.inc).

For New Patients

For New Patients

New Patient Forms

Please complete the appropriate New Patient form listed below and bring it with you to your appointment. When you click on the form it will appear on your screen; you can then click on each line of the form and type the requested information. When finished you can print the form from your computer. (Viewing and filling out this form on your computer requires Adobe Reader®. If you don’t have this program please click below to download for free).

Insurance

We accept a number of insurance plans. Please check with us directly as some insurers list us even if we do not accept their plan.

Payments Accepted

We will work with you in billing your insurance provider for services rendered. We also accept payment by credit card including American Express, Visa, MasterCard and Discover.