PATIENT INFORMATION
NEW PATIENT FORMS
These forms are provided for your convenience to help minimize waiting. You may print these forms, fill them out and fax them to our office or simply bring them with you to your next appointment. Faxing a copy of your driver's license, insurance card and any referrals that you may have will allow us to verify your coverage ahead of time.
ALL NEW PATIENTS COMPLETE THIS BRIEF FORM
Also Complete The Appropriate Form(s) Below
INSURANCE PROVIDERS
We bill many insurance companies. Please contact our office regarding your specific benefits and coverage.
COMMON QUESTIONS
Having problems verifying your Provider Status?
Call us, we will verify all patient’s benefits prior to their first treatment visit and explain all charges.
Having problems with your insurance company?
Contact our Billing Office for assistance. All other billing inquiries should be sent there.
Don’t have Insurance? Not a problem.
We are pleased to offer a wide range of inhouse payment plans, as well as affordable financing options through Care Credit.
We can accommodate ANY financial situation.
