All Workers Comp. Related Information / Reports: 1-800-633-9267
(1-800-MDEXAMS)
New Patients & Motor Vehicle Accidents: 1-866-609-4448
Accident Patient Forms
Before your first visit, please be sure to bring the following:
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Photo Identification (preferably drivers license)
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Social Security Card
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Insurance Identification Card
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Insurance Declaration page (outlining the tort threshold and type of coverage)
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Police Report
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Health Insurance (if applicable), we do not participate with any health insurance providers however if there is out of network benefits, as a courtesy to the patient we will balance bill the deductible and co-pay not covered by the motor vehicle insurance.
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If you are on medication the doctor needs to know. (List of medications)
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If you are not the insured the insurance carriers now require proof of address before the motor vehicle accident.
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Please also bring the below forms.
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Below are the forms you will need to bring in (Click to download):
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