Download and complete your New Patient Form with History prior to you first appointment and save time.
 
We are pleased to provide not only choice but more importantly convenience and flexibility for you and your family's health. Please inform the receptionist of any change in your insurance carrier.

 

In view of the fact that in this office we also perform some purely elective surgery, the fees for this type of surgery are paid for in advance of the surgery, unless covered by your insurance carrier. If surgery is indicated, the patient is responsible for furnishing insurance claims to the office prior to surgery.

We would appreciate it if you would be prepared to take care of your account at the time of the office visit. This also includes any insurance co-payments. Unless special arrangements have been made with the office administrator, payment is due at time of office visit.

 
 
Copyright © 2008 M. Jay Porcelli, DO, FACOFP dist. All rights reserved.