425.358.3070

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Billing Info and Forms

Insurance and Billing information


As a courtesy to our families, we bill most major insurance companies and are contracted as preferred providers with Premera, Regence, First Choice Healthcare Network, Cigna, and several others. However, we are not a participant with state-funded insurance plans such as Molina or Apple.

It is the parent’s responsibility to verify all coverage prior to their first visit.

Copays or coinsurance payments are due at the time of service. We accept debit/credit cards, HSA/FSA cards, cash, and checks.

For more information about our payment policies and billing practices, please contact Catherine Angehrn, our billing coordinator at cathiea@mvpedtherapy.com or (425)-358-3070 ext.3.  Catherine returns emails and voicemails on Tuesdays and Thursdays.

 

New Patient Forms


For your convenience, we have made our intake forms for new patients available online. Please contact our office for more information to become a new patient!

 

Welcome Letter

Medical History Intake Form

New Patient Insurance Form

Authorization for Exchange of Information 4.2019

Notice of Privacy Practices 2019

Privacy Practice and Contact Agreement