Appointment Information

Office Hours

I have flexible office hours, and am able to schedule an appointment in the mornings, afternoons, and evenings.  My practice is open 5 days a week, M-F.

Fees & Insurance

  • I accept out of network fees and PPOs.
  •  I accept cash, checks, and credit cards.

Forms

The following forms are provided for your convenience. Please print, carefully read, complete, and sign each form. Please bring the completed forms to your first appointment.

If you cannot download the forms, please let Dr. Maker know at your first appointment, and she will provide you with all the necessary paperwork.

  1.  Privacy Policies and Procedures and Signature for PHI Policies – print and read the Privacy Policy document, then print and sign the Acknowledgment of Receipt form, and return it to Dr. Maker at your first appointment.
  2. Informed Consent – print, read, sign, and return to Dr. Maker at your first appointment.
  3. Adult History Questionnaire – print, read, complete and return to Dr. Maker at your first appointment.
  4. Child history Questionnaire – print, read, complete and return to Dr. Maker at your first appointment.
  5. Billing Agreement– print, read, complete and return to Dr. Maker at your first appointment.

You will need ADOBE or other compatible reader software to open these forms. If you don’t already have ADOBE Reader installed on your computer (most do), a free version can be downloaded by clicking the ADOBE image below.

Download Adobe Reader Image