Your Visit

Please review the below information carefully. There are certain items and information which you need to provide so we can provide you with the best service possible. Please feel free to contact our offices if you have any questions about your appointment or referral.
What to Bring

Please arrive EARLY for your appointment with the following items and information:

  • Health Insurance Card

  • Please bring payment for any copayments, deductibles, or any balance due

  • A referral if needed by your insurance plan

  • Workers compensation referrals need to be received prior to visit

  • Photo ID

  • A list of all medications you are currently taking

  • A copy of x-rays/CT scans (NOT the report - Get the actual film or a CD)

  • Completed NEW PATIENT FORMS (See Below)

New Patient Forms

Fillable Forms

New Patient Registration Form

Patient Health Record

 

Printable Forms

New Patient Registration Form

Patient Health Record

HIPPA Privacy Practices

Receipt of Privacy Policy

Insurance

The following insurance providers are accepted:

Medicare

Blue Cross Blue Shield of Rhode Island

Blue Cross Blue Shield of Connecticut

Cigna

Connecticare

Aetna

Workers Compensation - We Required Fax Authorization from Worker's Compensation for Appointment

United Healthcare - Commercial Plans

Tricare East

Multiplans

PHCS

Bluechip for Medicare

Surgical Center Patients Links

Lawrence and Memorial Hospital, New London, CT

Westerly Hospital, Westerly, RI

Constitution Surgery Center East, Waterford, CT