Forms and Insurance Info
Forms
The following forms are available upon request:
- Patient registration
- Insurance
- Initial History
- Follow up Medical Forms
- Authorization for Medical Treatment
- Privacy (informational)
- Notice of Privacy sign off
- Financial Policy
- Credit Card Authorization
- Records Release Outgoing
- Photo Authorization
- Cancellation Policy
Patient portal will be available soon – please check back.
Insurances Accepted:
Most insurance accepted. If the doctor happens to be out of network, we will assist Dr. Saukin’s patients with insurance reimbursement whenever possible.