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Hospital Affiliations | Patient Information Sheet
Payment and Insurance Information
We request payment at the time of your appointment for services that are not covered by insurance. Your insurance company may also require you to pay a co-payment at the time of your appointment. When necessary, our staff will work closely with patients who require a payment plan. If you have any questions regarding which insurance plans we accept or any patient billing concerns, please call us at the phone number below. Questions regarding your coverage and benefits should be directed to your employer or insurance company.
You can view and/or print the patient information sheet prior to your appointment by following these easy instructions. In order to view and/or print the form, you must have the Adobe Acrobat Reader™, which you probably already have on your computer. If not, you can easily and quickly download a free version of Adobe Acrobat Reader by going to their website Download Reader. When viewing the information sheet in Adobe Acrobat Reader, the text might appear somewhat fuzzy; this is normal (the forms will print out clearly). To print, just click on the printer icon in the Adobe Reader toolbar above the document. Once you have the Adobe Acrobat Reader installed, click on these links to view and print the following forms:
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![]() 5655 1H-35 South San Antonio, TX 78211 Tel: 210.921.0116 Fax: 210.921.0380 [ map ] |
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