Must have following to be seen in our clinic;
- Date of Injury:
- Insurance Carrier
- Agent
- Phone Number
- Policy Number
- Attorney Hired: Yeas or No | if yes Name/Phone Number
- Who is primary? Medical Insurance or PI insurance
- Bring medical insurance and personal identification to appointment
If no Medical or PI Insurance
- Date of Injury
- Responsible Party for bills
- Attorney Name
- Attorney Address
- Attorney Phone Number
Following information is preferred to assist clients to the best of our ability
- Date of injury
- Insurance Carrier
- Claim Number
- Claim Rep
- Phone Number
- Attorney Hired: Yes or No if yes Name/Phone Number
- Who is primary? Medical Insurance or PI Insurance
- Bring Medical insurance Card and Personal identification to appointment