New Patient Forms
If you are a new patient with our practice we will need you to fill out a few forms before your first appointment. To save time before your appointment, download/print the forms in advance, fill them out, and bring them with you. We are more than happy to answer any questions you may have when you arrive for your appointment.
Insurances/Payment Information
We request co-payments and deductibles at time of visit.
We offer a discount for self-pay patients.
Methods of Payment: Cash, Check, Visa, and Mastercard.
We participate with Aetna, Anthem BC/BS (PPO), Cigna, Medicare, PCHP, Humana
Please call the customer service number on the back of your card to find out if we participate with your particular plan. It is the patient's responsibility to be aware of the specific details regarding their own insurance policies.
If you have any questions regarding insurance, billing, or payments, please call (434) 385-9756 and ask to speak with Dee-Dee or Mary Beth.