READY TO COME SEE US?
Here's what to expect during your first visit, including Patient Forms
and Insurance Information
SCHEDULE YOUR APPOINTMENT BELOW
WHAT TO BRING
- Your completed Patient Forms, medical insurance card and photo ID.
- If you were asked to complete the Pulmonary Function Test or Sleep History Questionnaire, please bring those as well.
If you are unable to download or complete the forms, please arrive at our office 30 minutes prior to your appointment.
(click to download)
PATIENT
FORMS
INSURANCE
We accept most health insurance plans, however, it is your responsibility to contact your insurance carrier to verify coverage and benefits. Patients may be held financially responsible for payment of services should the insurance company deny responsibility.
*We are now accepting Kaiser Permanente plans
Please bring your insurance card with you each time you visit Covenant Pulmonary Critical Care. In the event of changes in your insurance coverage please notify the front desk so we can accurately maintain your medical records.
SELF PAY RATES
PLEASE NOTE: If a patient has active insurance coverage at the time of service, you are not considered self-pay. By law, we are required to bill your insurance.