In order to make your office wait-time as short as possible, we recommend filling out the new patient paperwork prior to your first appointment. You can access the new patient paperwork by clicking on the link below. Once you have printed and completed the forms, you may fax them to 618-205-3598, email them to email@example.com, or bring them with you to your appointment.
We look forward to meeting you!
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
· You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
· Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
· If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
· Make sure to save a copy or picture of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.