Patient Information

Your First Appointment

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • A picture ID
  • Your insurance card
  • Referral form if required by your insurance provider
  • X-ray or other test results related to your condition
  • Information about your medical or surgical history that pertain to the reason being seen
  • Completed forms from this website (below)

Patient Portal

Our office is now pleased to offer a secure patient portal. New and existing patients may use the portal for any of the following:

  • Secure access to test results
  • Secure access to previous medical records
  • Secure messaging for appointment scheduling or medication refills
  • Secure updates to allergies, medications, surgical, family, or social history
  • Early registration for upcoming appointments to save time in the office and waiting room

Visit the Patient Portal

If you are interested in using the portal, please call our office to have your account set up or ask the front desk at your next visit.

Patient Forms

For your convenience, forms for your appointment are available online to review and complete in the convenience of your own home. When noted, these forms can be filled electronically before printing. If you are scheduled for an appointment with us, please complete and print the appropriate forms below. Fax the completed forms to our office at (702) 369-6981 or bring them with you to your appointment.


Send Referral


Forms for New Patients

All new patients are required to complete the following forms. Please complete and print the following prior to your first visit to save time in the waiting room.

To be filled out only if you are undergoing a vasectomy:

PLUG-IN REQUIRED: To view the PDF documents above, you will need the Adobe Acrobat Reader® plug-in. If you do not have it already installed, a free version is available through the Adobe website. Download the Acrobat Reader.


Forms for Returning Patients

All returning patients are required to complete the following forms if they have not been completed within the past 12 months. Please complete and print these forms prior to your visit to save time in the waiting room. These forms are required by Dr. Freedman even if no changes have been made since the last update.

PLUG-IN REQUIRED: To view the PDF documents above, you will need the Adobe Acrobat Reader® plug-in. If you do not have it already installed, a free version is available through the Adobe website. Download the Acrobat Reader.


Insurance and Payment Information

Sheldon J. Freedman, MD Ltd. is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please contact us. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Privacy Practices

Our Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. It is given to all new patients, and a copy is available upon request.

Privacy Practices