• Medical History

  • BLUE requires all appointments to be secured by a valid credit card. All cancellations must be made by phone. Cancellations must be made 24 hours in advance in order to avoid a cancellation fee of $50.

    Credit Card Authorization BLUE Med Center requires all appointments to be secured with a credit card. I understand that if I am unable to cancel my appointment within the cancellation policy guidelines, I am subject to the cancellation charge based on the fee schedule provided in my patient intake forms. I authorize BLUE to charge my card without claim.
  • I have reviewed a copy of BLUE’s Notice of Privacy Policies.