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NEW PATIENT INFORMATION 

Welcome to our practice!

Your First Visit:
Please plan to arrive 15-30 minutes before your scheduled appointment time in order to complete necessary paperwork. This will allow us to establish your medical file and enter key information into our computer system before you see your doctor.

For your convenience, copies of the required forms can be downloaded from this website and filled out in advance, saving you some time in our office. Be sure to download all 3 forms: 

(Adobe Acrobat Reader is required. Click icon to download )    

1) Patient Registration Form 

2) Patient History Form 

3) Office Policy on Standard Insurance and Managed Care

What to Bring:
Please bring pertinent medical information (such as records or reports from referring physicians), your current insurance card(s), a picture ID, and if you wish to save time, the completed forms already mentioned.
 
Payment Information:
We accept many types of insurance. (Click here for a list of Accepted Insurances.)
 
Co-payments and payment for services not covered by your insurance will be due at your first visit. For your convenience we accept cash, check or credit card (MasterCard, Visa, DiscoverCard, and American Express). We also offer patient financing through PulseCare, a credit payment plan for health care services. (PulseCare requires a quick credit check.)

If we are contracted with your insurance carrier, we will file an insurance claim for the insurance portion of your office visit(s), and make the necessary contractual adjustments. We also will file claims for surgeries, pregnancy and subsequent delivery care. Remaining balances will be billed to you.

If we are not contracted with your insurance carrier, we will provide you with appropriate receipts so that you can seek reimbursement from your carrier directly. 

(Click here for a list of Accepted Insurances)

(Click here for Additional Insurance Information)

Is your Primary Care Physician (PCP) a member of ARIA, PIPA or QCN?
If your Primary Care Physician is a member of a network of physicians such as ARIA (Austin Regional Independent Association), PIPA (Physicians Independent Practice Association), or QCN (Quality Care Network) the physicians of Drs. Des Rosiers & Wernecke Associates may not be authorized to see you.
 
The physicians belonging to these networks must generally refer to other physicians within the same network. Unfortunately, many insurance directories do not make this clear. To avoid frustration at the time of your appointment, please do the following: 
 
1. Contact your insurance company for specific plan guidelines regarding your access to specialists, particularly if your PCP is with one of the above networks,
2. Ask your PCP if he or she belongs to one of the networks listed above.

If it turns out your PCP is a member of one of these networks, and you have limited access to specialists (i.e., only specialists within that same network), you will have to select another OB/GYN office or choose to change your PCP.

Please feel free to contact our Business Office for further clarification regarding your specific situation.

(512) 454-5721

Flu Shot Information
This flu season we will be providing flu vaccines for current patients who are at high risk for complications from influenza as defined by Centers for Disease Control (CDC).  Click here for more information concerning Flu Shots in the form of a printable .pdf notice.

(Adobe Acrobat Reader is required. Click icon to download )    

 

Home ] About ] Hours_Map ] Satellite ] Physicians ] [ New Patients ] Insurance ] Staff ] Downloads ] Links ] Education ] Topics ] Patients_Say ]

 
Welcome ] Obstetrics ] Gynecology ] appointment ]

 

Drs. Des Rosiers & Wernecke Associates

Seton Medical Park Tower

1301 West 38th Street, Suite 300

Austin, Tx 78705

Phone: (512) 454-5721

Fax: (512) 454-2801