Patient Forms & Policies

Before your appointment with us, quickly and conveniently access patient forms from our practice.

To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com. Please bring your completed forms with you to our office at the time of your visit.

Download Patient Forms

Patient Information Form Confidential Case History

Test Your Hearing Notice of Privacy Practices

Billing & Insurance

We participate with most local and many national insurance plans. However it is your responsibility to understand whether your insurance has limits on the doctors you can see, or the services you can receive.

If you provide complete and accurate information about your insurance, we will submit claims to your insurance carrier and receive payments for services. Depending on your insurance coverage, you may be responsible for co-payments, co-insurance, or other deductible amounts.

Please contact our office or your insurance carrier should you have questions.

Medicare Preferred Care Blue Cross & Blue Shield GM Insurance Empire

Aetna GHI Cigna Plus others