Our Practice

New Patients Information

We are committed to providing you with the best medical care. If you have medical insurance, we want to help you receive your maximum allowable benefits. In order to achieve these goals, we need your assistance and your understanding of our payment policy.

If you have any questions about the information below, or any uncertainty regarding insurance coverage, PLEASE do not hesitate to ask us. We are here to help you.

New Patient Forms

New patients will need to fill out our Patient Registration Form and our Health History Form before their first appointment. For your convience, we have these forms available online for you download in Adobe .PDF format. You can print and fill them out before coming into the office.

Download: Adult New Patient Complete Packet

Download: Patient Registration Form

Download: Health History Form

Download: Children's Health History Form

Download: Patient Record of Disclosures

Download: Payment Policy

Download: Meaningful Use Form

Download: Controlled Substances

Download: Notice of Patient Privacy

Download: Notice of Patient Privacy Signature Page

Download: Authorization to Release Medical Records

Download: Patient Portal Policy

Download: Patient Portal Consent Form


If you do not have the adobe reader already installed on your computer, you can download it free from Adobe here.

 

Medical Insurance

We accept many health insurance plans. Participation in these plans changes from time to time, so check with our office before your appointment to be sure we are currently on your plan. When we file these insurances for you, you are responsible for paying your co-payment and/or deductible at the time of your visit. This can be paid by cash, check, MasterCard, Discover or Visa.

 

Other Insurance

If you have an insurance plan other than the ones we take, you will have to pay for your services the day of your appointment, and seek reimbursement from your insurance company. In special instances, we may accept assignment of insurance benefits on other insurance companies provided your deductible has been met and the service performed is covered under your contract. We emphasize that as medical care providers, our relationship is with you, not your insurance company. While the filing of insurance claims is a courtesy that we extend to our patients, all charges are your responsibility from the date the services are rendered.

Payment Policy

Our Payment Policy can be viewed in the above PDF file title Payment Policy.

 

Missed Appointments

Information to come.