Patient Forms

New Patients or patients with a change of information:

You may download the registration form and bring it with you to your visit.
If you cannot view the PDF, you can download Acrobat Reader free from Adobe Systems, Inc. Click here for free download. In order to use PDF files, you must have Acrobat installed on your computer.

What to bring to your appointment

  • Your insurance card.

  • A list of current prescription or over-the-counter medications you are taking, including dose and frequency.

  • Pertinent information about your medical and surgical history.

We accept Blue Cross, Blue Shield of Alabama, Medicare, United Healthcare and most major insurance plans. However, it is in your best interest to check your insurance provider’s list of participating physicians to be sure your plan allows you to be seen at our office. Also, please review with your insurance customer service representative (or insurance provider) the rules and limitations on coverage and reimbursement.

We are happy to process all insurance forms for you as long as you have provided us with the appropriate insurance information. Please feel free to discuss any questions you may have about billing with our office staff.

Below is a list of all Patient Information Forms:

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