Message for New Patients


All Hello, this is Dr. Polley.  Thanks for choosing Polley Clinic.

As you explore our website you will become familiar with our history, policies, and procedures.

If you choose to make a new patient appointment with us, please read the following message carefully because it contains very important information about your upcoming appointment that will save you time, money, and aggravation.

Before your appointment you are required to log the Polley Clinic patient portal and fill out all necessary forms in the MyHealth section. Instructions to log into the patient portal will be sent to you by email.

If you do not log in to the patient portal to fill out the necessary forms, you are required to arrive at least 45 minutes prior to your scheduled appointment to fill out the forms in the office.

If you DO NOT fill out the forms online, or if you do not arrive at least 45 minutes prior to your scheduled appointment, Polley Clinic WILL NOT BE ABLE TO SEE YOU, and you will have to reschedule your appointment once you have met these requirements.


  1. Photo ID.
  2. All insurance cards.
  3. A legible list of all your medications.
  4. Money for deductibles and copayments.
  5. Copy of Power Of Attorney if necessary.
  6. The referral form from your primary care provider if necessary.

Thank you!  Your cooperation will ensure that you have an efficient and enjoyable appointment experience.

We look forward to treating you like family.

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