Home Our Practice Meet the Physician Office Information Patient Education Patient Resources Office Information and Patient Registration Forms   Patient Registration Forms   Please print, read and complete all forms listed. Please bring these completed forms to your initial appointment or fax them back to us at 561-798-9193 prior to the child's initial visit. Notice of Privacy Practices Receipt of Notice of Privacy Practices Authorization to Release Medical Records Authorization To Treat New Patient Registration Patient History Financial Policy   Office Information   Office Hours   The office is open from 9 a.m. to 5 p.m. Monday through Friday. For after-hours emergencies, please contact Dr. Singer at 561-798-9119.     Insurance Plans Accepted   Aetna (All Plans) Humana (All Plans) America's Choice Health Plan Medicaid - Florida AmeriGroup(1) OneSource EPO Network (HCA) Blue Cross Blue Shield of Florida (All Plans) TRICARE (CHAMPUS) Children's Medical Service - Florida United HealthCare (All Plans) CIGNA (All Plans) Vista Health Plans(1) (All Plans) HealthEase of Florida(1) WellCare(1) Health Options (1) Including Healthy Kids     Financial Policy   It is important that you take time to review this policy.     All new patients must complete our patient information forms prior to being seen.     Established patients must update the information sheet on a yearly basis.     To ensure accuracy when billing your insurance company, we must have a current copy of your insurance card on file. If we are unable to verify your insurance benefits, you will be required to pay at the time of service.     IT IS YOUR RESPONSIBILITY TO KNOW YOUR INSURANCE BENEFITS.     You will be required to pay for office visits in full until your yearly deductible is met.     All insurance co-pays and percentages are due on the day of the visit.     For your convenience we accept cash, personal checks, VISA, MasterCard. American Express and Discover.     All returned checks will be assessed a $25.00 returned check fee. After two returned checks, we will no longer accept personal checks on your account.     We must be notified of any changes in your insurance coverage and have the insurance verified before seeing the doctor. If you do change insurance carriers, please call the office prior to coming in for your appointment. This way we can have your insurance verified before you come in.     New babies must be added to your insurance policy before any claims will be paid. Most insurance companies require that you do this within thirty days after the baby is born.     If your insurance company has not responded within ninety days from the date the claim was filed, you will be responsible for payment of the bill. In the event the insurance company pays after you have paid, you may request a refund.     Even though our office has a contract with your insurance company, it is still your responsibility to see that any charges submitted to the insurance carrier are paid in a timely manner. It truly helps when the policyholder gets involved, therefore we may ask you to contact them if there is a problem getting the bill paid.   Palm Beach Pediatric Hematology Oncology 12957 Palms West Dr.,Suite 103 Loxahatchee, FL 33470 Phone: (561) 798-9119 Fax: (561) 798-9193 Map/Directions     Copyright © 2006-2007 Palm Beach Pediatric Hematology Oncology, Inc. All rights reserved.  Site design & host: NeuronLinks, Inc.