Roswell Internal Medicine Specialists, P.C.
 
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      New Patient Information & Forms

All patients with Commercial Insurance (not Medicare, not Self Pay) are required to leave a $100.00 deposit for copays and deductibles: cash or credit card only.

This new policy is due to the large number of defaulted patient accounts as of late.

We accept the following insurances:

Aetna PPO only     Beech St.       Blue Cross PPO only   Cigna all

Coventry all          First Health     Medicare*                  United all

Mail Handlers         Humana Gold only (not Humana Medicare)

*We are Non-Participating providers with Medicare.   All Medicare patients pay for their visit at the time of service and are then reimbursed by Medicare directly

.Please click below to print out the new patient forms.  Fill the forms out and bring them to your appointment along with your health insurance card and photo I.D. 

New Patient Forms

**Please be aware that all co-pays and office visit deductibles are due at the time of the visit. 

         
""Then give the doctor his place lest he leave, for you need him too.  There are times that give him an advantage, and he too beseeches God that his diagnosis may be correct and his treatments bring about a cure."  Sirach 38:12