Please visit our Patient Resources page for more valuable information on current foot topics.
If you are a first-time patient, please plan on arriving early to complete a patient registration form. Please bring the following items to the appointment:
Referral forms (if required)
List of all prescription and over-the-counter medications that you are currently taking
Any required co-payment
Pertinent medical and surgical history information
X-ray films that you may have
Completed patient forms (PDF)
Please print and complete these forms and bring them with you to your appointment to help reduce your waiting time.
What To Bring
Insurance & Payment Information
We are participating providers for Medicare and most other major insurance plans. It is the responsibility of each patient to be familiar with the specifics of their particular policy and to obtain referrals or authorization (prior to your appointment with us) if your insurance requires one to see a specialist.
Your co-pay and any deductible amounts are due on the date of service/date that you are seen. We do not bill you for your co-pay and we ask that you come prepared to pay your co-pay on every visit. Once your insurance pays on your claims, you are responsible for any unpaid balance not covered or applied to your deductible.
It is the patient’s responsibility to follow up with your insurance company to ensure that they pay in a timely manner. It is our office policy to bill the insurance balance to the patient after 90 days and after several attempts to obtain payment from the insurance company. It is also your responsibility to keep us informed whenever your insurance changes or there is a change in your coverage
If you have any other questions regarding our office insurance policy, please feel free to contact our billing department.
Notice of Privacy Practices for Foot and Ankle of West Georgia, P.C.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.