Sansum Clinic
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Personal Information

Verifying your identity, your current address, and home and cell phone numbers are vital to maintaining our patient records. This insures proper communication between you, our doctors, and our business offices.

Personal verification makes sure that:

  • Test results are received in a timely manner
  • Appointment reminder calls are made to the correct number
  • Your Provider can contact you directly by telephone
  • Medical support staff is able to reach you in the event of a change in your appointment
  • Emergency contact information is current and accurate
  • Insurance forms have current information to help process your claim
  • Employment information is up to date Insurance Information

Your current insurance information will help us to provide accurate billing services. Insurance verification will require that you:

  • Bring a copy of current Insurance Card(s)
  • Make current or past due co-payments

What to Bring:

  • Picture ID
  • All current insurance cards
  • Completed physician order (if you have one)
  • Completed Consents and Authorizations
  • Payment for co-payments or deposits due at time of service
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