You will be asked to review your registration to ensure accuracy of all personal information. Please read and review this information carefully. Report any changes in address, insurance, e-mail and/or telephone number immediately.
You will be asked to sign an Assignments of Benefits for, which allows us to bill your insurance company and receive payments directly from the insurance company. If you do not sign this form we hold the right to consider you to self-pay and may ask you to pay cash at the time of your visit.