Silver Pine Patient Forms
Important information we need so we can start to be your health care provider.
Attention: As a patient of Silver Pine Medical Group we want you to know that we value your time and commitment to improving your health and well-being as well as the time and commitment of all our patients. Because of that, we make every effort to see you as close to your appointment time as possible. In return, we ask that you show the same consideration to our staff and fellow patients. We ask that if you are unable to keep your scheduled appointment that you call and provide notice no less than 24 hours before your appointment time. Failure to cancel no less than 24 hours before your appointment time or not showing for your scheduled appointment will result in a $25 charge. For all Complete Physical Exams (CPE’s) there will be a $50 charge for failing to cancel no less than 24 hours before your appointment time or not showing for your scheduled appointment.