Patient paperwork must be submitted before scheduling an appointment.
NEW PATIENTS
Please complete new patient paperwork prior to your first
scheduled appointment. Bring with you to your first apointment:
- Completed new patient paperwork
- Insurance cards
- Photo ID
- All medications and supplements
- Lab work from other providers
- Blood glucose meter
- Co-payment is due at time of service
PATIENT FORMS
Please Note: You can submit your completed new patient paperwork via the following methods:
- Fax: 402-379-9601
- Email: sara@diabetesandwellness.net
- Drop off in person: at our office located at: 809 1/2 South 13th Street Norfolk, NE 68701
We look forward to your office visit!
INSURANCE
We participate in most major health insurance plans. Please check with your insurance provider at the outset of treatment to ensure that you are covered for your treatment (and at what level) and to be sure that we are listed as a provider in your plan. It is the patient's responsibility to check their insurance plan coverage. To avoid unpleasant and expensive surprises, we strongly encourage our patients to carefully research the specific provisions of their health insurance coverage. Insurers typically deny coverage if you do not meet their provisions. It is the patient's responsibility to know the specific requirements of their coverage, and to inform our office of all special requirements. It is important that you bring your insurance card to every appointment. If you change insurance companies or change your address, phone number, etc., please contact our office as soon as possible so we can make the necessary changes to your file.
