- Authorization to Release Healthcare Information
- Consent for Use and Disclosure of Protected Health Information (PHI)
- Medical Records Release
- Notice of Privacy Practices
- Office Policies
- Patient History
- Patient Registration Form
- Patient Financial Responsibility Statement
- Patient HIPAA Consent Form
- Patient Rights & Responsibilities
- Pre-Admission Health Survey
- Medication Reconciliation Form
- Condition of Coverage Brochure
For Primary Physicians Only
Insurance / Billing
Our office participates in many insurance plans.
- Horizon Blue Cross and Blue Shield
- US Healthcare
- United Healthcare
- and many others.
Please check with your insurance company to see whether we are listed as a participating provider. For all billing questions please call our office.