Please bring the following to your appointment:
Insurance card (s) for patient
Referral, if required by insurance
Also, please feel free to print the below form (s) and fill them out to save time at your appointment. If you choose not to fill out the below forms we do ask if you can please arrive 15 minutes prior to your appointment to fill them out prior to your appointment time.
Online Patient Forms
- Balloon Sinuplasty
- Adenotonsilectomy (T&A)
- Direct Microscopic Laryngoscopy
- Functional Endoscopic Sinus Surgery (FESS)
- Tympanostomy with Tube Insertion (BMT)
- UPPP SURGERY (Uvulopalatopharyngoplasty)
Some healthcare insurance plans require you to have a referral from your primary care physician prior to seeing a specialist. Also, many plans require pre authorization prior to surgeries or any surgical procedures. Our office will assist and initiating these referrals and pre authorizations, however it is the patient’s responsibility for any insurance denying payments for our services.
We participate with most health insurance companies. For a comprehensive list of insurances or to see wether or not we participate with your insurance company, please contact our office at (810) 695-3766.
All payments (copays and deductible (if not met)) are due day of service. We accept cash, check, Master Card, Visa and Discover
SCHEDULE AN APPOINTMENT
Please call our office at (810) 695-3766 to schedule an appointment. Alternatively, you may complete our online appointment request form and the office will reach out to you within 24 hours.