HIPAA. This is given to you on your visit. You can print this out, however this is for your records and reference. You will be asked to sign saying you received a copy of this information.
"Confidential Patient Health Record" form.
Vehicle Accident Report
Please read and sign all paperwork before your appointment.
* PLEASE NOTE ... if you cannot print and complete paperwork in advance, YOU MUST ARRIVE 30 MINUTES PRIOR TO YOUR SCHEDULED APPOINTMENT OR YOU WILL NEED TO BE RESCHEDULED. Thanks for your cooperation.
Call YOUR insurance company.
* KY is a "no fault" state which means your insurance company pays your medical bills.
You will need:
a PIP claim #
Claims address and fax #
Claims adjuster's name and direct phone #
Arrive at your appointment on time with:
If you are late for your new patient appointment or do not have your paperwork, we may need to reschedule you so as not to inconvenience other patients on the schedule.
We thank you for your understanding of this policy.
After a car accident, it is important to seek medical attention so that automobile accident injuries can be assessed by a qualified health professional.
* PLEASE NOTE ... PAPERWORK MUST BE COMPLETED BEFORE YOUR APPOINTMENT!
If you cannot print and complete paperwork in advance, YOU MUST ARRIVE 30 MINUTES PRIOR TO YOUR SCHEDULED APPOINTMENT OR YOU WILL NEED TO BE RESCHEDULED. Thanks for your cooperation.