What to Bring to Your Appointment

• Your insurance card
• Physician referral forms, if required by insurance
• List of prescriptions and/or over-the-counter medication, including dose and frequency
• Information about your medical and surgical history
• Recent x-rays or relevant records
• Completed patient forms

Patient Forms

For your convenience, you may view, print, and complete forms before your visit to the office.

• Patient registration form
• Health history form

Insurance and Payment Information

David W. Law, D.O., is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for charges that are not covered by your insurance, at the time of your appointment.

Your insurance company may require a co-payment at the time of your appointment. When necessary, our staff will work with patients to set up a payment plan.

If you have questions regarding billing or which insurance plans we accept, please call us at the phone number below. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Privacy Practices

Notice of Privacy Practices for David W. Law, D.O., F.A.C.O.S.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. There is an Acknowledgement Form at the bottom of the Notice of Privacy Practices.

Patient Record of Disclosures

David W. Law, D.O.
2128 West Jefferson
Trenton, Michigan 48183
Tel: 734.676.4040
Fax: 734.676.9897
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