Insurance Verification Form And Instructions

Insurance Verification Form Instructions

Thank you for choosing Internal Medicine Associates of Galveston as your healthcare provider.

Instructions:

1. Save this form to your computer.

2. Complete and save the finished form.

3. Return the form to Internal Medicine Associates of Galveston as soon as

possible. You may return the form electronically or print the form

Email:

Fax: 409-770-9371

Drop-off or mail to:

Internal Medicine Associates of Galveston

501 Holiday Dr.

Galveston, TX 77550

Note: If you are unable to return the forms please, bring the forms with you on your first

visit.

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Parent category: Legal