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Patient Information
Insurance and Payment Information | Privacy Practices
Please arrive early so that we can complete your initial paperwork. Also, please bring the following:
For your convenience, please print and complete the following forms before your office visit:
Insurance and Payment Information Dr. DeFrank is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please contact us. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company. Complete financial policy and agreement form Dr. DeFrank is a provider for the following and many other insurance HMO's and PPO's:
Our Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. It is given to all new patients and a copy is available upon request. Patient Consent for Use and Disclosure of Protected Health Information
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Dr. Peter R. DeFrank - Dallas Foot Care Center
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