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Patient Information


 

New Patient Forms

Welcome to our practice! We look forward to meeting you.
Below is the form that we ask you to complete. Click on the link. Please follow the prompts. Each section must be filled out accordingly and submitted. At the end of the registration you will receive a confirmation number.

 

Patient Education Forms

 

Notice of Privacy Practice

 

Insurance and Billing Information

We accept most Commercial Insurance Plans and Medicare.
However, we do NOT accept following insurance plans.

  • Medicaid
  • Any Medicaid HMOs
  • North Texas Physicians
  • Cigna Focus Flex Silver
  • AM Better
  • Molina
  • Aetna Medicare Replacement (We accept all other Aetna plans)

If you have a question regarding your plan, please call our office 972-899-2170 or email us office@drdaveysuh.com

 

Payment Options

We strive to provide quality care and service to patients. Co-pays and balance are due when you check in for your appointment and prior to receiving treatment or surgery. To make your visit more convenient we currently accept the following payment methods:

  • Cash
  • Personal Check
  • Debit cards
  • Credit cards – Visa, Master, American Express, Discovery

If you have questions regarding your bill, please call the Billing Department at 972-899-2170 or email office@drdaveysuh.com

 

Location

DFW Foot and Ankle
2281 Olympia Drive, Suite 200
Flower Mound, TX 75028
Phone: 972-899-2170
Fax: 972-899-2171

Office Hours

Get in touch

972-899-2170