DR. BILLZ MEDICAL BILLING SPECIALIST
Home
Electronic Billing
New Patients
Enroll Now
Contact
Home
Electronic Billing
New Patients
Enroll Now
Contact
Session Statement Request
If you need your session statement expedited, please fill out the form below to receive it in less than 24 hours. If you would like us to submit your statement and claim directly to your insurance company, please sign up for electronic billing.
*
Indicates required field
Name
*
First
Last
Session Date
*
Session Amount
*
Email
*
Comment
*
Submit