Please be advised that you may receive a check from your insurance company for treatment of Obstructive Sleep Apnea. This check reflects the amount owed to our office for the equipment customized for you.
Please sign the back of the check and forward to us along with a copy of your driver’s license.
If the check is made out to the primary insured, please provide us a copy of their license.
You may also include a personal check in the amount owed.
Please feel free to contact our office at 828-649-7114 with any questions you may have.
I understand that any check/money recieved by me in the mail is not for me to keep
I understand that any check/money I receive is to be immediately paid to the office receipt
I understand that if I keep the check/money mailed to me by the insurance company that it is considered insurance fraud