Thank you for choosing Nephrology & Hypertension Associates as your health care provider. We appreciate the opportunity to serve you. Please download and print all 8 of the documents shown in the sidebar. Please complete, sign and date all forms where necessary. Please bring the following to your appointment:
- ALL of the completed forms (8)
- Your insurance identification cards
- A form of photo identification
- Any co-payment for a specialist required per your insurance
We will contact you prior to your appointment to confirm the date and time. Please plan on arriving 15 minutes early. Thank you very much for taking the time to complete the requested information.
We are a fragrance free office due to allergies, please refrain from using any perfumes or colognes.
If your insurance requires a referral, please contact your Primary Care Physician’s office to see if one was electronically entered for you. Remember that some Primary care Physicians may require up to 72 hours prior notice for a referral.
In addition to our patient registration form and medical information forms you will see our financial policy. As part of our service, we are trying to contain the ever-rising cost of health care. In order to do this, we have implemented this policy.
We believe the financial policy shares responsibility fairly and reasonably. If you have any question regarding this policy, please call the billing department at 215-750-2323 and speak to one of our billing specialists who will be happy to answer any questions you may have regarding this policy.
Some of the treatments we offer are for peritoneal dialysis and hemodialysis. Our nephrology department is prepared to treat chronic kidney disease, renal failure, symptoms of kidney stones as well as blood pressure readings.