Insurance and Legal Forms

PLEASE bring your INSURANCE CARD with you to the office for your first visit. If a decision has been reached that you will be admitted to the Hospital for a surgical procedure, upon discharge an itemized standard Health Insurance Claim Form will be sent to your insurance company. You will be asked to sign a release and assignment of benefits for your insurance company on your first visit. We will also need you to supply us with the mailing address for your claim form. Once again statements are due, paid in full within 60 days of your hospital surgery date. We are happy to assist you with your reimbursement from your insurance company. If you have any questions or would like to make other arrangements this MUST be done before your scheduled procedure or sclerotherapy session.