ARTHUR
SNYDER, M.D.
406‑457‑4343
Fax‑# 406‑457 4344
Your appointment is‑scheduled
for___________________________
At ______________________________________________________
You
have been scheduled for a Rheumatology consultation. Please complete this ‑medical
history questionnaire BEFORE your scheduled appointment and bring it with you
when you come. I feel this information
is essential to a thorough evaluation, and its completion will allow us more
time for a.
detailed discussion of your main problem. If you misplace this questionnaire,
please call our office for another copy.
It may be necessary to reschedule your appointment if you do not have
the questionnaire completed when you arrive.
It is necessary that you have a
primary physician to whom I will send
your consultation report who will provide long‑term
follow up care. I am available for care during clinic hours and if you have
questions, or are
experiencing some problems you would like‑
to discuss, please call. After
hours, holidays, and weekends you will need to
contact your primary
physician.
My
office is located on the second floor of the new Maria Dean Medical Building in
Suite 200 east of St. Peter's Hospital. I recommend that you use the north
entrance facing Broadway, and take the elevator to the second floor.
HELENA MEDICAL
SPECIALISTS
MARIA DEAN BUILDING
2525 BROADWAY
HELENA, MT 59601
CHARLES B. ANDERSON, M.D. KENNETH V. EDEN, M.D.
ADULT NEUROLOGY GASTROENTEROLOGY
MARK DIETZ, M.D. JEFFREY DICKERSON, M.D.
ADULT NEUROLOGY PULMONOLOGY
ARTHUR SNYDER, M.D.
RHEUMATOLOGY
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CARD.
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CONTACT OUR OFFICE.
I
UNDERSTAND THAT THE ABOVE INFORMATION IS NECESSARY IN ORDER TO PROCESS MY
CLAIM.
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