Financial & Insurance
If you would like our office to submit claim forms for you, we ask that you provide us with the name, address and telephone number of your insurance carrier as well as the appropriate forms. Please complete the insured or employees portion of your form and sign where indicated.
We cannot render services on the assumption that our charges will be paid by an insurance carrier. However, for your convenience, we will accept payment from your insurance company assigned to us by the insured. Such payments will be credited accordingly to your account.
If your company requires verification of continuing treatment, you may send them a copy of your cancelled checks or cash receipts. If your insurance carrier provides a form for verification of continuing treatment, we will be glad to complete the signature portion.