Information You Need

Health Care Insurance

With the implementation of the Affordable Care Act, insurance providers are changing more rapidly than ever. Dr. Davidson accepts most major insurance carriers and many others. Please contact our office, 317-893-3131, to confirm that your insurance is accepted. If you do not have insurance please contact us about payment plans if you need care and are concerned about your ability to pay.

Need a Form?

 New Patient Registration Form  New patients or patients whose information has changed since your last visit should fill out this form before a visit.

Initial Patient History Form  New patients should fill out this before your first visit.

Authorization for Release of Protected Health Information

Our Financial Policy

Notice of Privacy Practices

Written Acknowledgment of Receipt of the Notice of Privacy Practices

Consent for Medical Treatment of a Minor Child

Advanced Beneficiary Notice (ABN)

Family History Questionnaire For Cancer Risk

Questions?

Call Us: 317-893-3131

Fax Us: 317-893-2445

 

Contact us Via Email – Important: email contact is for regular communication only. DO NOT use email for emergencies. We normally respond to email within one business day.

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