Associates In Internal Medicine Specialties
Associates In Internal Medicine Specialties   

Patient Forms

Looking for forms to fill out that will help speed up the process for your visit? Click the links on the side and bring them with you to your visit! As your Primary Care Provider, we try and make your visit as smooth as possible.  We know your time is valuable and waiting to be seen or filling out forms is not how you want to spend your time.  We want to assure you that you are our primary focus!

Don't forget to bring your insurance information with you

In order to register and treat you promptly, we request that our patients bring their current insurance information with them for each visit.

 

We will bill your visit directly to your insurance provider if you supply an updated proof of insurance at each visit. Please check with us to see if our practice is included in your health insurance network.

 

We are happy to file the claim for you, but the balance is your responsibility if your insurance company or plan does not pay after 30 days. Any amount not covered by your insurance policy is due immediately after you receive your first invoice from us.


MEDICARE:
We accept Medicare patients. As a courtesy, we will also bill your secondary insurance provider directly. You will be asked to sign an Advanced Beneficiary Notice for services not covered under Medicare. You shall be accountable for covering these services.

New Patient Forms
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