Accident Patient Forms
Before your first visit, please be sure to bring the following:
- Photo Identification (preferably drivers license)
- Social Security Card
- Insurance Identification Card
- Insurance Declaration page (outlining the tort threshold and type of coverage)
- Police Report
- 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.
- If you are on medication the doctor needs to know. (list of medications)
- If you are not the insured the insurance carriers now require proof of address before the motor vehicle accident.
- Please also bring the below forms.
Below are the forms you will need to bring in:
Warning: count(): Parameter must be an array or an object that implements Countable in /homepages/44/d157698815/htdocs/rptanaka/sallmyersdemo/wp-includes/class-wp-comment-query.php on line 405