PLEASE BRING ANY AND ALL LABS, XRAYS, CT/MRI , FILMS, with the accompanying REPORTS pertaining to your problem, etc to your appointment.
THIS IS VERY IMPORTANT INFORMATION NEEDED BY OUR PRACTITIONERS.
Your appointment will be delayed without this information.
If you are a new patient to our practice
We offer the best of ENT in Sterling and Loudoun County. Our practice request the registration forms be completed and brought to your first appointment. By completing the forms prior to your visit, you will experience quicker check-in time. When visiting our office, please be prepared to pay your copay, coinsurance or deductible.
Federal Red Flag Regulations require our office to request a copy of a picture ID and insurance card to confirm identity. Please bring these items with you to your appointment.
Please complete ALL 4 pages of our registration form. If you experience any difficulties downloading our forms, please call our office for assistance.
WE PARTICIPATE WITH MANY HEALTH PLANS Verification of coverage is performed prior to the time of the visit. Any patient financial responsibility will be collected at the time of the visit. Patients with out-of-network benefits and self pay patients are always welcome. If you have concerns regarding payment, please speak with the Receptionist or Office Manager.
Copyright 2009 Loudoun ENT Specialists. All rights reserved.