101 South Bedford Road, Suite 213
Mount Kisco, New York 10549
914-244-0244
Mount Kisco, New York 10549
914-244-0244
NEW PATIENTS
We pride ourselves on getting to know our patients and gaining a mutual respect for each other. In order to establish this vital foundation, we require all new patients to complete an in depth medical information form. We also would appreciate your signing the Health Insurance Portability and Accountability Act (HIPAA) form which protects your privacy.
We understand and respect that the information you provide us about yourself and your health is personal. We take all precautions in keeping your information confidential. Your personal records remain secure in our care and are only released to institutions dictated by state and/or federal laws, as well as to insurance companies for claim reimbursement purposes.
PODIATRIC REGISTRATION AND HISTORY FORM
HIPAA FORM
INSURANCE
We participate with most major insurance companies including:
Please call our office if you do not see your insurance company listed. We will be happy to inform you if we are a participating provider.
Understanding your insurance carrier:
Your insurance card provides you with valuable information. It will tell you how much your co-payment is to a specialist's office as well as if a referral is required from your primary care physician (PCP).
Deductibles should be discussed in your policy. Our office makes every attempt to keep our patients well informed of covered and non-covered services, however, we encourage all of our patients to refer to their policies so that there are no surprises regarding out-of-pocket expenses.
PAYMENT METHODS
For your convenience we accept cash, checks, VISA and MasterCard. For non-covered services, we offer our patients payment plans.
We pride ourselves on getting to know our patients and gaining a mutual respect for each other. In order to establish this vital foundation, we require all new patients to complete an in depth medical information form. We also would appreciate your signing the Health Insurance Portability and Accountability Act (HIPAA) form which protects your privacy.
We understand and respect that the information you provide us about yourself and your health is personal. We take all precautions in keeping your information confidential. Your personal records remain secure in our care and are only released to institutions dictated by state and/or federal laws, as well as to insurance companies for claim reimbursement purposes.
PODIATRIC REGISTRATION AND HISTORY FORM
HIPAA FORM
INSURANCE
We participate with most major insurance companies including:
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Please call our office if you do not see your insurance company listed. We will be happy to inform you if we are a participating provider.
Understanding your insurance carrier:
Your insurance card provides you with valuable information. It will tell you how much your co-payment is to a specialist's office as well as if a referral is required from your primary care physician (PCP).
Deductibles should be discussed in your policy. Our office makes every attempt to keep our patients well informed of covered and non-covered services, however, we encourage all of our patients to refer to their policies so that there are no surprises regarding out-of-pocket expenses.
PAYMENT METHODS
For your convenience we accept cash, checks, VISA and MasterCard. For non-covered services, we offer our patients payment plans.
EMERGENCY services are provided to ALL patients. Please contact us at
(914) 244 - 0244
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