Patient Information

Your visit to our medical facility will involve a thorough review of your medical history, radiology imaging and prior treatments in order to evaluate the best treatment for your known diagnosis. The medical intake form will assist the physician in determining the appropriate testing, imaging and next step  to assess all your treatment options for a known malignant and non malignant condition.

The paperwork is essential to your visit. To maximize your time with the physician, please initial that you understand this entire packet needs to be completed prior to your appointment time. The medical intake form must be completed and submitted to StrykerMD. All recent (30 days)  radiology imaging CD’s, prior medical reports including pathology, copy of driver’s license, front and back of your insurance card need to be received prior to confirming an appointment with Dr. Stryker. Dr. Stryker does not accept insurance. We collect the insurance information for the facility where your procedure will be performed.

The medical intake form must be completed in it’s entirety before a confirmed appointment can be made. You are not considered a patient of Dr. Stryker’s until the completion of the initial appointment. Please do not try to make an appointment until all criteria is met with the office policy and procedure. 

Policy and procedure requires completing medical intake form and submitting to office. A valid copy of a government ID, front and back of your insurance card and hard copy CD of recent imaging or a valid code so Dr. Stryker can evaluate your anatomy and location of tumor in order to create a unique treatment plan for you.

Please List MRI, CT, Ultrasound, Mammograms, and Pet/CT scans below. Please include the date it was completed, and the facility name and contact information for each scan.

We will need copies of these diagnostic images on a disc, thumb drive in DICOM format or access to a portal to review your images.

Rates for Procedures are based on a range depending on the complexity of the case. Each patient’s condition is personal and specific for the type of procedure which will be performed.

Most Insurance companies consider Interventional Oncology procedures such as Embolization and Cryoablation as Investigational.

Immunotherapy/Chemotherapy No additional charge for intratumoral placement of the medication for the professional fee.

Patient is responsible for payment of the drug if insurance does not cover. There is a fee for Intravenous Immunotherapy if patient follows up in office for intravenous therapy for a cost. This does not cover the cost of the drug.

There are two fee structures. The facility in which you have your procedure will bill/charge separately which is called the technical fee.

The professional fee is charged separately which is Dr. Stryker’s fee for performing the procedure.

Sometimes in a hospital setting you may also have a separate bill from the laboratory, pathology, anesthesia and other ancillary services.

In the event that my appointment is not cancelled within the above mentioned time frame. This fee must be paid in full prior to future services including prescription refills, office visits, etc. This is non-refundable. All completed consultations with Dr. Stryker are non refundable. All procedures performed by Dr. Stryker are non-refundable.