All patients:
- New Patient Registration – all new patients will fill out this paperwork
- Verification of Insurance Coverage – if you’d like to verify your insurance covers our provided services
Out of network patients:
- Patient Summary Form – if you’re out of network, this form can be filled out by you and our provider and will be submitted by us to help with potential reimbursement for your care
Medicare patients:
- Medicare Advance Beneficiary Notice of Noncoverage (ABN) – in order for us to process with Medicare insurance, this form is mandatory
Worker’s compensation patients:
- Work Comp Case Information – includes all the information we’ll need to process your care
Auto accident/No fault patients:
- New York No Fault Form – includes all the information we’ll need to process your care
