NEW PATIENTS

Patient Information

Patient Registration Form Medical History Form
 Skip the paper work at the office and make your appointment fast and efficient today. Download our registration forms here and bring them on your next visit.
In order to make sure your visit to the doctor goes smoothly, we've put together all the important information about how things work at the practice.
Don't forget to bring your insurance information with you!

In order to register and treat you promptly, we request that our patients bring their current insurance information with them for each visit.

We accept most major insurances, Workers Comp, All Motor Vehicle Insurances.

Insurance & Financial Information

INSURED PATIENTS:
We will bill your visit directly to your insurance provider if you supply an updated proof of insurance at each visit. Please note that the insurance policy is between you and your insurance provider; we are happy to file the claim for you, but the balance is your responsibility if your plan does not pay after 30 days. Any amount not covered by your insurance policy is due immediately after you receive your first invoice from us.

UNINSURED PATIENTS:
Patients without insurance are always welcome to join our practice as private patients with one of our family practice providers or walk in as acute patients in the walk in center. The fee to see one of our qualified providers is very affordable and established patients qualify for discounted fee schedule.
 
MEDICARE:
We accept patients on the Medicare plan. As a courtesy, we will also bill your secondary insurance provider directly. You will be asked to sign an Advanced Beneficiary Notice for services not covered under Medicare. You shall be accountable for covering these services.

Patient Registration Forms

 Skip the paper work at the office and make your appointment fast and efficient today. Download our registration forms here and bring them on your next visit.
Registration Form Medical History
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