Patient Registration Form
New patients are requested to fill out a Patient Registration & Disclosure/Agreement form. Save time in the office and print and complete a form at home to bring in with you! Click the link below to download. Note: you will need Adobe Acrobat Reader to view this file.
Consultations are by appointment only. Most insurance companies no longer require a referral to your OB/GYN for appointments. Please inform us of the nature of your visit at the time of appointment scheduling. Some medical problems may require additional time.
We accept most major insurance carriers. Please contact your insurance company to confirm your coverage of benefits. Regardless of your medical coverage, most companies now require copayments and deductibles to be met before the time of service. We offer the convenience of payment by either cash, check, VISA or MasterCard.
Our billing department will submit primary and secondary insurance claims for you free of charge, but is subject to validation of insurance coverage prior to service rendered. If you have partial insurance coverage for services rendered, the balance due is your responsibility. Should there be any conflict regarding claim responsibility, please resolved those issues with your insurance provider directly.