Andrew J Hughes MD | SimplePractice

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Billing & Payment

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I understand the following: If I do not have one of the insurance providers accepted by Dr. Hughes, I am responsible for payment in full at the time service is rendered, unless other arrangements have been made. I will be provided a statement so I may try to get some reimbursement from my insurance company if I am eligible.

Yes

I understand that Dr. Hughes will reply to this message as soon as possible, and that this request for an appointment does not establish a doctor/patient relationship.

Yes

Client Preferences

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Office hours are Tues-Friday 9am-4pm

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Preferred modality

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For example: what you'd like to focus on, insurance or payment questions, etc.

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Administrative

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If you or others are in immediate danger or experiencing a medical emergency, call 911 immediately.

By submitting this form, you agree to the processing of your sensitive personal information, which may include protected health information (PHI). This information may be viewed by team members in this practice.