Medical History Form
Once you have a confirmed appointment with Dr. Geller, please complete the Medical History Form at least 48 hours prior to your visit. Please do not fill out this form if you do not have an appointment.
Please note that Dr. Geller is not a provider for any insurance plans or Medicare. Payment is due at the time of service. No personal checks please.
We require 24 hour notice for cancellations. No-shows, flakes, or excessively late patients will be charged for their full appointment and may be discharged.