Initial Visit Info

 WHAT TO BRING

Please bring your insurance card(s) with you. We will make a copy for your file. As a convenience we will bill most of the major insurance providers. Your insurance plan my require an insurance referral. (This is not the same as a medical referral) Depending on your plan you may need a referral for each visit. If a referral is needed you must bring this with you at the time of your appointment. You will need to fill out a Patient Information Form before your initial appointment. You can download patient information sheet by visiting our full website and fill it out before your visit. You will need Adobe Reader to download this document.

For Workers Compensation or Auto Claims please bring the name and address of your employers workers compensation /auto company, the claim number and your date of injury. Your claim representative’s name and phone number are also helpful.Please contact our business office (651) 221-0248 if you have questions about your insurance, or payment.

Insurance items 
  • Your insurance cards(s), we will need to make a copy.

  • Your insurance referral if needed.

  • For workers compensation, bring the name and address of your employers workers compensation insurance company and claim number and date of injury. Your claim representative’s name and phone number are also helpful.

Medical history Items
  • A signed release allowing information sent to us.

  • The reports or actual films for any X-ray, CT, MRI or other tests pertinent to your problem.

  • Copy of any lab work (blood tests etc.) that have been done in the past 6 months.

  • Any pertinent hospital or physician notes.

  • List of all your medications and dosage.

 


          
1650 Beam Avenue, Suite 200, Maplewood, MN, 55109, United States
651-221-9051
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