Save time in the waiting room! Please print and complete the form packet below before your appointment and bring the completed forms with you to your appointment.
If you need an individual form, please select and print the form needed from the list below.
- Patient Information Form
- Medications List
- Patient Consent Form
- Financial Policy
- Patient Health Information Release
- HIPAA Notice of Privacy Practices - Please print for your records.
The Kidney Clinic accepts most private insurance, Tricare, Medicare, and Medicaid. The managed care health insurance market changes rapidly, and specific coverage questions should be discussed directly with your insurance company.
If you have further questions, please contact our knowledgeable staff.
Online Bill Payment
Kidney Clinic has partnered with PatientWallet® from Patientco to give you the simplest, most secure payment experience possible.