Forms

At your first visit, you will be asked to complete a variety of forms. Please also plan to bring copies of any relevant school and medical records, as well as any prior testing.

Payment and Insurance

Full payment is due at the time of service.

Dr. Ward does not accept insurance and she is considered an “out of network” provider.

Although Dr. Ward does not accept insurance, your insurance company may reimburse you for some of her fees. She does not have any way to guarantee reimbursement amounts.

Please contact your insurance company directly to find out about their reimbursement policies. Dr. Ward can provide you with a copy of your bill containing all of the necessary information for you to submit to your insurance company. You are responsible for submitting this bill and obtaining any reimbursement.

NAPP Good Faith Estimate for Health Care Items and Services

Under the law, health care providers need to give patients who do not have insurance or are not using insurance an estimate of anticipated costs for medical items and services.

You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items and services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

Make sure your health care provider gives you a Good Faith Estimate in writing at least one (1) business day before your medical service. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule a service. This can be provided at request and will be part of the intake paperwork.

If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

Make sure to save a copy or picture of your Good Faith Estimate.

For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.