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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 self-pay options including payment plans if you need care and are concerned about your ability to pay.

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Need a Form?

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New Patient Welcome Packet  – Information to complete before your first visit.

Patient Registration Form – Existing patients, please complete to update your information before a visit.

Request for Copy of Medical Records – also called Authorization for Release of Protected Health Information

Our Financial Policy

Notice of Privacy Practices

Advance Beneficiary Notice (ABN)

Consent for Treatment of a Minor Child

Family History Questionnaire For Cancer Risk

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