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Account Information
Each patient is given an account number. It is important
that you have that account number with you all of the
time. When you call our office, please give the account
number so that the receptionist can help you. If there
is a change in your insurance plan, please inform us
as soon as possible. If you have any questions on your
account, please contact the accounts supervisor.
For new patients, you should give the following information:
Child's name
Guarantor's name:
Address
Phone number
Child's birthdate
Insurance Plan
- Policy #
- Group #
- Copay $ (if applicable)
- Deductible (if applicable)
If HMO The name of the HMO and the IPA that you belong
to. It will be your responsibility to be on our eligibility
list for the HM0.
You should also give us the important medical information
about your child and bring a copy of their previous
immunizations
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