background image

Patient Center

Your First Visit as a New Patient

We are glad you have chosen our practice for your allergy/asthma care. Our entire staff is delighted that you have placed your confidence in your medical treatment with us and want you to know that we are committed to providing you with the best possible medical care.

We look forward to meeting you at your first visit with Karim & Branch. Realizing that every patient is different and has different, specific needs, we will work with you to meet those needs through individualized diagnosis and treatment plans.

Everything You Need to Know as a New Patient

Patient Forms

Please download and complete the forms below and bring them with you to your appointment. Adobe Acrobat Reader is required to open documents. Download Adobe Acrobat Reader at no charge.

Individual Forms
All Forms in One Packet
For more information about our practice, please view our brochure.

Referrals

If required by your insurance, please ensure that we have the referral prior to or at the time of your visit.

Billing

Our office participates with most insurance carriers so you may want to inquire about your particular carrier when contacting our office. The payment procedures for our office are:

  1. If your insurance is one that our office participates with, you will be required to pay your office visit co-pay at the time of service and you will be billed on a monthly statement for any additional co-payments and deductibles you may owe.
  2. If your insurance is one that our office does not participate with, you will be given an itemized statement, with all required insurance codes, and we ask that you pay in full within 30 days of your visit and you will be billed for this amount on a monthly statement.

Please remember, when paying by mail always include your account number on your check so payments will be properly posted.

Insurance

Karim & Branch will file claims with all insurance companies, including Medicare and Medicaid.  It is your responsibility to verify coverage and level of coverage, in/out of network before your appointment time.  You will be billed for any remaining charges and monthly payments can be arranged if necessary with the Office Manager.

Prescription Refills

Authorization for routine prescription refills will be given during regular office hours only. This may be done by having your pharmacist call our office during this time. If this is not possible, you may call or write to us to have a new prescription written.