PATIENT REGISTRATION

Please, click one of the links below to download the necessary patient registration forms

HIPAA Privacy Form

Insurance Information

Our facility accepts most medical insurances. We make every effort to provide you with the most convenient financial options. To accomplish this goal, we work hand in hand with you to maximize your insurance reimbursement for covered procedures and services. Please bring your current insurance information with you to the surgery center so that we can expedite reimbursement. If necessary, we will seek CareCredit approval for a line of credit.

 

Beltline Surgery Center - Patient Forms

Questions? Please contact our administrator at 972.203.8787