What to Bring to Your Appointment Patient Form Payment and Insurance Information Notice of Privacy Practices What to Bring to Your Appointment Your insurance card Physician referral forms if required by insurance A list of current prescriptions and/or over-the-counter medications you are taking, including dose and frequency Pertinent information about your medical and surgical history Any recent x-rays or appropriate records you may have Patient Form Coming soon. You will be able to download our new patient form in order to complete it before your appointment. Payment and Insurance Information Dallas Pulmonary Associates is a provider for Medicare and most major insurance plans. We provide insurance billing. Please be aware that any costs not covered by insurance are your responsibility. For services that are not covered by insurance, we request payment at the time of your appointment. Your insurance company may also require you to pay a co-payment at the time of your appointment. When necessary, our staff will work closely with patients who require a payment plan. If you have any questions regarding which insurance plans we accept or any billing concerns, please call us at the phone number below. Questions regarding your coverage and benefits should be directed to your employer or insurance company.

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