Patient Forms



GROUP OR INDIVIDUAL INSURANCE

We attempt to minimize as much of the "insurance hassle" for you as possible. We'll happily telephone your insurance company to verify your coverage benefits. Please remember, however, that the benefits quoted to us by your insurance company are not a guarantee of payment. We will file your claim and await payment for 90 days. If your company pays the benefits they quote to us, the only services you will be responsible for are any non-covered services, deductibles or co-pays. If you have any questions at all regarding you financial responsibilities at our office, please do not hesitate to ask. Our insurance clerk has years of experience and will be happy to assist you.

PATIENTS WITHOUT INSURANCE

An increasing number of patients do not have insurance, or have plans with limited coverage, such as catastrophic policies. We realize that no one wants to build up a large bill. Therefore, we have several plans so those patients may receive complete care without undue financial difficulty. Of course we are always happy to accept cash, your personal check, MasterCard, Visa, American Express or Discover cards.

"ON THE JOB" INJURY (Worker’s Compensation)

If you are injured on the job, your care should be paid for under your employer’s Worker’s Compensation insurance. We have to be on the worker's compensation board in order to file through your employer.

PERSONAL INJURY OR AUTOMOBILE ACCIDENTS

Please call our office and we will be happy to assist you with the proper procedures when filing medical claims with your auto insurance.

MEDICARE

We DO NOT particpate with Medicare. However, we will gladly file it for the patient. This means that the patient will be reimbursed by Medicare based upon the Medicare guidelines.

SECONDARY INSURANCE

Please inform us of any secondary insurance you may have. We will assist you if you need help in filing.