Patient Information and FormsContactless Check-In
In response to the challenges we are facing with COVID-19, visitors will no longer be allowed to accompany patients in our exam rooms or waiting area. Thank you for your commitment to protecting the health well-being of our team and our community.
For your convenience, all the forms you need to get your journey started are listed below. Before you schedule a visit, please make sure you have filled out the patient packet.
Billing Questions? Please be advised that we do not perform any billing services in our office. Please call our billing office at (866) 773-1256 or call the phone number on your billing statement.
Is my appointment covered?
Please call your insurance company to ensure that the following CPT codes are covered of a particular test: IE: 76811, 76813, CPT code: 81420, 81479, 81599, 84999, 99203 and 76801.
For self-pay patients please call our office for pricing.
- Please complete and bring to your appointment along with your ID and insurance card
- Co-pays will be due at the time of the visit