Pay Your Balance

Please go to our payment center HERE and pay your balance or make a partial payment.

Prices & Insurance

O&O believes in the value of care for you and your family and have maintained a pricing structure that allows care for all budgets. For patients who have little or no insurance coverage, flexible payment programs can be arranged. To learn more about our payment options, you can contact our office directly at billing@oandoalpan.com.

Most insurance plans are accepted at our office. Since there are so many plans and coverage varies widely, please call us to find out if your plan covers care in our office. Our staff will verify and explain your benefits before treatment, at no charge.  You can also send us a quick message to info@oandoalpan.com including all your insurance information.  We will find out and contact you within 24 hours with your coverage.

 

Patient Forms

Amerimmune Test Requisition

Office Policy OGA

Patient History

Medical Records Release

Vial Request

Amerimmune CPT Codes

Infusion Medication Order

New Patient Demographics

GENETIC Adult Genetic Questionaire

GENETIC Authorization Signature Page

GENETIC Child Genetic Questionaire Form

GENETIC Demographics Form

GENETIC Family History Form

GENETIC HIPAA Notice of Privacy Practices

GENETIC HIPAA Signature Page

GENETIC Patient Consent Provider form

GENETIC Physician Intake Form

GENETIC Medical Release