We accept new patients from birth to geriatrics. Our practice participates in most insurance plans, including Medicare and Medicaid; however, we only accept patients with Medicaid under the age of 12 years old. All new patients are required to pay a $50.00 “good faith” pledge that they will keep their scheduled appointment. This fee can be applied to your deductible, coinsurance, or copay once we file your insurance. Our practice requires that all copayments, deductibles and co-insurance be paid at the time of service.
If you would like to be considered for a new patient appointment, please fill out the two forms below. You may bring the forms to our office, or email them to: OM@unifourfamilypractice.com
If you are accepted by one of our providers, you will be notified via phone and an appointment will be scheduled at that time.