Fax Referral form

Announcements

To request an online account please email the patient’s name and date of birth to info@ansmpc.com  DO NOT USE THIS EMAIL FOR PATIENT RELATED ISSUES!  It is only for requesting an online account.


Patient Portal

 

Click To Access Patient Portal


Office Hours

  • Monday-Thursday 8:00 AM – 4:30 PM
  • Friday 8:00 AM- 4:00 PM
  • Closed Saturday & Sunday

  • Thanksgiving –  Closed Thursday, November 23rd, and Friday, November 24th. 
  • Christmas – Closed Monday, December 25th, and Tuesday, December 26th.

Important Documents

Directions Authorization to release recordsNotice of Privacy PracticeNotice of nondiscriminationFax Referral formSleep Fax Referral
Emergency Department referrals:
All new patients who are being referred to our office by an emergency department must come to our office in person to schedule an appointment.  Please be sure to bring your discharge summary and insurance card(s). If the patient has Medicaid, they must go through their primary care provider for an appointment.
Spanish
ATENCIÓN:  si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-368-1019 (TTY: 1-800-537-7697).
Chinese
注意:如果您使用繁體中文,您可以免費獲得語言援助服務。 請致電 1-800-368-1019 (TTY: 1-800-537-7697).。
Korean
주의:  한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-800-368-1019 (TTY: 1-800-537-7697). 번으로 전화해 주십시오.
Vietnamese
CHÚ Ý:  Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn.  Gọi số 1-800-368-1019 (TTY: 1-800-537-7697).
Arabic
ملحوظة:  إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان.  اتصل برقم 800-368-1019 1 (رقم هاتف الصم والبكم: 1-800-537-7697).
German
ACHTUNG:  Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung.  Rufnummer: 1-800-368-1019 (TTY: 1-800-537-7697).
French
ATTENTION :  Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement.  Appelez le 1-800-368-1019 (ATS : 1-800-537-7697).
Gujarati
સુચના: જો તમે ગુજરાતી બોલતા હો, તો નિ:શુલ્ક ભાષા સહાય સેવાઓ તમારા માટે ઉપલબ્ધ છે. ફોન કરો  1-800-368-1019 (TTY: 1-800-537-7697).
Tagalog
PAUNAWA:  Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad.  Tumawag sa 1-800-368-1019 (TTY: 1-800-537-7697).
Hindi
ध्यान दें:  यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-800-368-1019 (TTY: 1-800-537-7697).पर कॉल करें।
Laotian
ໂປດຊາບ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-800-368-1019 (TTY: 1-800-537-7697).
Russian
ВНИМАНИЕ:  Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода.  Звоните 1-800-368-1019  (телетайп: 1-800-537-7697).
Portuguese
ATENÇÃO:  Se fala português, encontram-se disponíveis serviços linguísticos, grátis.  Ligue para 1-800-368-1019 (TTY: 1-800-537-7697).
Turkish
DİKKAT:  Eğer Türkçe konuşuyor iseniz, dil yardımı hizmetlerinden ücretsiz olarak yararlanabilirsiniz.  1-800-368-1019 (TTY: 1-800-537-7697). irtibat numaralarını arayın.
Japanese
注意事項:日本語を話される場合、無料の言語支援をご利用いただけます。 1-800-368-1019 (TTY: 1-800-537-7697). まで、お電話にてご連絡ください。