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Forms & Policies

Alabama Forms and Policies
Weight Reduction
Weight Loss Alabama
This notice describes now your medical information may be used and disclosed and how you can assess this information
Necessary to file with your insurance ( included in new patient information Forms )

Authorization to
Release Patient Info

Download and complete, bring with you to the office when you have your appointment

New Patient
Info Form

Our Office Directions
Demographic Sheet
Sleep Apnea Alabama
GAD Sleep History Forms

Insurance Policy

Please call your insurance company or our office to confirm that we accept your insurance.

Please note that under COVID-19 regulations you may have your COVID-19 medical conditions covered by a government grant. Please let our office know if you have had COVID-19, and your medical insurance status. Our office can make arrangements for reimbursement of medical treatment through this grant.

Copays and Deductibles are due at the time of your visit. We accept all major credit cards (Visa, MasterCard, American Express and Discover), as well as personal checks and cash.
Thank You
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