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The health insurance industry is constantly changing, and therefore our participation with various insurance organizations changes as well. To meet the needs of our patients on an individual basis, we request that you notify us with any insurance questions or concerns. Completing insurance forms is a complimentary service that we provide, but it is the patient’s responsibility to make sure the proper coverage exists before starting treatment. The patient is responsible for all expenses not covered by insurance. Insurance Forms These forms below can only be opened with Adobe Acrobat. If you need to download the program, click the icon below.
Please print out and complete each of these forms at home and bring them with you on your first visit to our office Click here for Patient Information Form Click here for Insurance Form Click here to print reciept for Notice of Privacy Statement Click here to read Privacy Statement Please note: you do not need to bring this part of the Privacy Statement to the office, only bring the reciept for Notice of Privacy Statement. |
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