If you and I have spoken and have agreed to meet up, please click on the "Register Now" icon below.
The link will take you to a secure Web portal. Information you provide through this portal is kept strictly confidential.
Complete the insurance portions if you would like my office to file claims electronically on your hehalf. Any insurance reimbursement for services received will be sent to you directly by your insurance company.
Please note that I am not a participating provider for any private health insurance plans or for Medicare or Medicaid plans.
Please try to provide all information requested, if the information is applicable.
The link will take you to a secure Web portal. Information you provide through this portal is kept strictly confidential.
Complete the insurance portions if you would like my office to file claims electronically on your hehalf. Any insurance reimbursement for services received will be sent to you directly by your insurance company.
Please note that I am not a participating provider for any private health insurance plans or for Medicare or Medicaid plans.
Please try to provide all information requested, if the information is applicable.
