Willis Knighton Academic Medicine North

Making An Appointment

All visits to our office should be scheduled, including same day and urgent care appointments. If you need to ask questions about your appointment or to change it, please call our office.

Required Patient Forms

New patients should arrive 30 minutes prior to the appointment time so that we can process the information, create the medical file and place the chart in line for the designated appointment time. Bring all medications in their original bottles (not a pill box) to your appointment. Be sure to include any over-the-counter medications you current take.

• New Patient Information Record (Can be completed online)
• Patient Identification Data (Can be completed online)
• Authorization to Disclose Protected Health Information (Can be completed online if needed)
• Notice of Privacy Practices

Fees & Billing

All co-pays are due at the time of your visit.

We ask that you provide your current insurance information at every visit, to make sure we have your most up to date insurance information

We accept Cash, Check, MasterCard, Visa and Discover.

You may contact our billing office with any questions.

Pay Your Bill Online

You can pay your bill online using Online Bill Pay.

Insurance

Our office accepts most insurance plans. Please verify with your insurance company that we are listed as participating providers. We will file all charges to your insurance plan. However, your agreement with your Insurance Company is strictly between you and them. Any remaining balance will be your responsibility and due immediately. You will also be responsible for payment should your insurance plan deny claims for any reason.

Release of Information

We are unable to release any information to anyone without your written consent on the required Alternate Contact Form. Your information is privacy-protected.