Insurance & Forms

Claims/Forms

We will file insurance claims for those patients who have insurance coverage.  Therefore, on your initial visit we will ask that you provide insurance information and a copy of your driver’s license or government identification.

Please remember that insurance is considered a method of reimbursing the patient for fees paid to the doctor and is not a substitute for payment.  Some companies pay fixed allowances for certain procedures and others pay a percentage of the charge.  It is your responsibility to pay any deductible amount, co-insurances, or any other balance not paid by your insurance company.

When questions on insurance matters arise, please feel free to discuss them with the receptionist.  She will be happy to help you receive maximum benefits; however, the agreement by the insurance company to pay for your medical care is a contract between you and your insurance company.

For your convenience, please download and fill out the forms below ahead of time:

The following are recommended reading prior to your visit:

dr. janet black

staff