Forms & Policies

You may download and print any of the office forms listed below. Your completed forms can either be brought to the office at the time of your visit or fax them to us prior to your appointment. If you need a copy of a form mailed to you, please call the office at 978-459-8300.

Please fax forms to: 978-459-8303

Please fax forms to:
978-459-8303

Insurance & Billing

Our office is contracted with most medical insurance plans, including many HMO and PPO’s. We accept Medicare assignments of benefits for standard and supplemental Medicare. Please contact your insurance carrier to verify our participation with your plan. At the time of service, your co-payment will be collected (cash and credit cards are accepted).

If you should have any questions or concerns about your billing statements, please contact us at 978-459-8300 option 4 during business hours.

Insurance & Billing

Our office is contracted with most medical insurance plans, including many HMO and PPO’s. We accept Medicare assignments of benefits for standard and supplemental Medicare. Please contact your insurance carrier to verify our participation with your plan. At the time of service, your co-payment will be collected (cash and credit cards are accepted).

If you should have any questions or concerns about your billing statements, please contact us at 978-459-8300 option 4 during business hours.

Co-payments

Co-pays are a contract between you and your insurance carrier, and are due at the time of service. Some contracts require more than one co-pay on the same date of service if you have two different types of exams or procedures done. If your co-pay is not paid at the time of service, there will be a $15 billing fee added to your charge.

Prior Authorizations

If your insurance requires pre-approval or referrals to our practice, it is your responsibility to make sure that referral has been made prior to your visit.

Insurance Forms

We will complete one set of insurance forms for you. Please allow 7-10 business days for completion of disability, compensation or insurance forms.