Insurance Form

IMPORTANT BILLING NOTICE ♦♦♦ MUST READ AND SIGN RE: PPO & OTHER INSURANCE BILLING HILLTOP MEDICAL CLINIC/ HILLTOP MEDICAL CLINIC WEST offers PPO & other insurance billing as a courtesy to our patients. Our policy is as follows: 1.  We will bill your insurance, but expect payment at the time of service if your annual deductible has NOT been met. 2.  If  NO deductible or it has been met - You will be required to pay your copayment amount at...

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HIPAA

ACKNOWLEDGEMENT OF RECEIPT OF NOTICE OF PRIVACY PRACTICES Hilltop Medical Clinic West ♦ 2123 Eureka Way ♦ Redding, Ca  96001 ♦ (530)246-4629 I understand that under the Health Insurance Portability and Accountability Act of 1996, (HIPAA), I have certain rights to privacy regarding my protected health information. I understand that this information can and will be used for the following: ● To conduct, plan, and direct my treatment and follow-up among multiple healthcare providers who may be involved in that...

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School Sport Physical Exam

Available without an appointment. Cost: 45 dollars Please be sure to sign in prior to arriving at the Clinic.  The price is $45. The goal is to reduce injuries related to participation in school sports activities. This is important, but our ability to achieve it is still being debated in medical journals. We can perform a heart transplant, but we still cannot be sure of the value of a sports physical. This is the nature of medicine. Researchers usually focus...

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