(A.) PAPERWORK AND (B.) PAYMENTS
(A.) 1. Copy both sides of your driver's license. Copy both sides of your insurance card(s) if applicable.
Most insurances are accepted.
2. Copy and complete the Adult Form if you are 18 or older.
3. Copy, read, and complete the Informed Consent Form.
4. Copy and complete the Health Questionnaire.
A HIPAA Notification is available for Viewing
(B.) Payment is due at the time of service.
1. Sign up for Zelle® with your online bank account.
2. Go to "Transfer | Zelle®" at page top. 3. Go to "Send Money" TO EMAIL: KW@KENFIELDWALTERS.COM
Disability/Leave paperwork fee: $65.00
EASY, FREE, VERY FAST!
For Appointments: (248) 737-0388
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