About Dr. Reldan
fees and payment policy
Print out commonly used forms so you can fill them out ahead of time
Contact Dr. Reldan
Directions to Dr. Reldan's office
Privacy Policy

Dr. Reldan









If this is your first visit to Dr. Reldan's office, you will need to fill out a few standard forms. You are encouraged to print out these forms prior to your visit. Fill them out, and bring them with you to your appointment. Dr. Reldan also requests that you bring all your medications (in their original bottles or packaging) to her office with you -- to every appointment, not just the first one -- including not only all prescription medications that you take, but also any non-prescription drugs such as aspirin, vitamins, supplements, etc.

Patient Information Sheet

Personal Health History

Authorization to Release Records

Patient Partnership Plan

Patient-Physician Arbitration Agreement

A Message to Our Patients About Arbitration

Medicare Private Contract

Notice of Privacy Practices

Dr. Reldan's Office Policies

If you need directions to Dr. Reldan's office, you can print them by opening or saving the file below.

Directions to Dr. Reldan's Office

A map can be viewed here:

Google Map to Dr. Reldan's Office

Note that in order to print out these forms, you need to have the Adobe Reader program installed on your computer. If you don't already have Adobe Reader, it can be downloaded at no charge from the Adobe web site.


The beautiful El Patio Building Fountain



Copyright © 2007 - 2018 Jane R Reldan, MD Inc.