Mobile. Affordable. No Insurance.
 
Kara Diersing Clapp, PhD, APRN
Family Nurse Practitioner
Saturday, April 22, 2017
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Doctor Kara, PC
PO Box 901020
Sandy, Utah 84090-1026
Voice: (801) 495-9303
 

Preparing For Your First Visit

Forms

Our Patient Portal: Where New Patients Can Submit Their Medical History to Doctor Kara PC!

New patients who prefer to complete their new patient medical history online can use the portal page. Mouse over the "Patients" tab at the top and click on the "Patient Portal" in the drop down menu. All histories are submitted securely. Please allow pop-ups for the new registration form.

Traditional Paper Registration

For new patients who prefer paper forms, you can find the age-appropriate forms below. These forms are for downloading and printing out at home. Please complete the forms prior to arriving for your appointment. If you are unable to print out the packet, we ask that you arrive at our office 30-45 minutes in advance of your appointment to complete the appropriate forms before your first visit or your child's first visit. This will ensure you receive the best possible healthcare. Our staff will need to verify patient information, confirm insurance eligibility if applicable, and set up your electronic medical record before our Nurse Practitioner starts your visit on time.

Please request old records from your most recent health care providers prior to requesting a new patient appointment. No controlled substances (narcotics, sleeping pills, anxiety meds, ADHD meds) will be prescribed to new patients without old records on file at the Doctor Kara, PC Nurse Practitioner Clinic office. An additional $30 may be applied in cases of controlled substance prescriptions to cover the additional review of old records and record keeping that is required by state law for these prescriptions.

Adult New Patient Packet

The Appointment and Billing Policies Acknowledgement must be completed by each new patient.
 TitleSizeDescription
Adult New Patient Packet168.44 KBThis packet contains all the forms you need to complete as a new patient. PLEASE DOWNLOAD, PRINT OUT, AND COMPLETE FORMS prior to your scheduled appointment.
Medicare New Patient Packet180.24 KBThis packet contains all the forms you need to complete as a new patient. PLEASE DOWNLOAD, PRINT OUT, AND COMPLETE FORMS prior to your scheduled appointment.

Teen and Pediatric New Patient Packet

Please use this form to request old records to be sent to Doctor Kara PC from your previous health care providers.
 TitleSizeDescription
Teen New Patient Packet167.91 KBThis packet contains all the forms you need to complete as a new patient. PLEASE DOWNLOAD, PRINT OUT, AND COMPLETE FORMS prior to your scheduled appointment.
Pediatric New Patient Packet168.82 KBThis packet contains all the forms you need to complete as a new patient. PLEASE DOWNLOAD, PRINT OUT, AND COMPLETE FORMS prior to your scheduled appointment.

Phone Consult for Persons Who are Not Established Patients

 TitleSizeDescription
Phone Consultation for Persons Who are Not Established Patients136.46 KBA packet of forms that must be completed prior to requesting a general phone consultation with Doctor Kara, PC

 

How to Request an Appointment

Established patients can self-schedule online .  New Patients should call 495-9303 to request an appointment.

Here is a link to the ATMs near our clinic office (click here for map).

Here is a list of banks, credit unions, and check cashing offices near the clinic office (click here to download PDF list). 

 

Appointment Policy

We live in a crazy world and sometimes unforeseen circumstances prevent us from keeping commitments or appointments. Should something happen to you where you cannot make your appointment nor cancel your appointment more than 24 hours in advance, we will call you to make sure that nothing unfortunate has happened. We recognize that you are committed to the best-possible healthcare and that Doctor Kara, PC Nurse Practitioner Clinic patients do their best to keep appointments to help ensure the exceptional Nurse Practitioner Experience continues.

Most medical providers double and triple book their appointments because so many patients are late for their appointment, do not show, or cancel at the last minute.  Double and triple booking allows other healthcare providers to ensure that at least one patient will keep their appointment. Cancellation and no-show fees are common. Unfortunately, double and triple booking only punishes those who are on-time for their appointments as this creates the long waiting room experience we all know so well.

We do not double or triple book patients.  This means that you will not have to spend an hour in our waiting room because other patients have the same appointment you do.  It also means that keeping your appointment and being on-time is critical to your positive experience and no-wait guarantee.

The Doctor Kara, PC Nurse Practitioner Clinic No-Nonsense Appointment Policy

To review the Appointment Policy, please download the Registration Form on this page.  You will be asked to confirm your agreement to the terms and conditions when self-scheduling your appointment online. By asking for an appointment to be reserved for you on the office schedule book by phone, in-person, or via internet, you are agreeing to the terms and conditions of the policies by default. 

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