
|
Patient Information
What to Bring to Your Appointment
Forms Your First Appointment Financial Policy Privacy Policy Medical Records Release Disability Forms Request Surgery Insurance and Payment Information Hospital/Surgery Center Affiliations What to Bring to Your Appointment
Forms for Your First Appointment To ensure a smooth and speedy check-in for your visit, please complete the following forms. Be sure to bring the completed forms and your insurance cards with you to your visit. If you have any questions, feel free to call us at 630.665.9155. Our patient service representatives are available by telephone Monday through Friday, from 8:00 a.m. until 4:00 p.m. [PDF Help]
SportsMed-Wheaton Orthopaedics's financial policy concerning billing and insurance is always available to patients.
SportsMed-Wheaton Orthopaedics' privacy policy concerning the use and disclosure of patient medical information adheres to all state and federal laws. The policy is always available to patients and is found below.
SportsMed-Wheaton Orthopaedics will release your medical information to anyone you choose. Complete the form below to allow the release of your medical information.
SportsMed-Wheaton Orthopaedics can provide patient forms to qualify for handicap parking, disabilty and family medical leave (FMLA). Complete the form below to request the disability forms you require.
The forms below provide information concerning post-operative care, joint replacement scheduling, each doctor's surgery schedule and EMMI. Be sure to review all relevant information if you are planning surgery.
Insurance and Payment Information We are providers for Medicare and most major insurance plans, and our office provides insurance billing for our patients. You are responsible for charges that are not covered by your insurance at the time of your appointment. Your insurance company may require a co-payment at the time of your appointment. When necessary, our staff will work with patients to set up a payment plan. If you have questions regarding billing or which insurance plans we accept, please call us at the phone number below. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.
Hospital/Surgery Center Affiliations We are affiliated with the following hospital/ambulatory surgical centers:
|
||||||||||||||
|
2001 N. Gary Avenue
|
|||||||||||||||