Patient Resources

Appointments

What to bring to your appointment

We want to answer as many of your questions as possible during your visit. Please prepare for this by bringing the following items.

• Health Insurance Card/Information
• If needed, a friend or family member to take notes or help with questions
• A list of all medications you are taking
• A list of your questions or concerns
• A copy of your MRI film/CD and report
• Copies of records from doctors related to your visit with us
• Completed Forms

Patient Forms

Our forms require use of the free Adobe Reader Software – download from the Adobe website.

• New Patient Registration Form
• New Patient Registration Form – Workers Compensation
• Financial Policy
• HIPAA Notice of Privacy
• Authorization for Disclosure of Health Information
• Notice of Privacy Practices
• Physician Contact List
• New Patient Intake Form
• New Patient Intake Form (Dr. Goldin)
• New Patient Intake Form (Dr. Thomas)

Insurance

Because of changes in the health care industry, insurance does not always pay for all care. We will assist with your insurance billing, but we cannot bill your insurance unless you furnish us with all insurance information and bring your ID card with you to your appointment. We will also assist in obtaining the pre-certifications that are required for surgery, diagnostic testing or second opinions.

We accept most insurance plans, including PPOs, some HMOs, Worker’s Compensation, and Medicare. Please check with your insurance to verify our participation in your plan prior to scheduling your appointment. Please be aware that your insurance coverage is a contract between you and your insurance provider. We are not a party to that contract. You are responsible for paying any claims that are not covered by insurance. We also ask that you pay any co-payment required by your insurance carrier upon arrival at WTMF.

If your insurance plan requires a physician referral authorization number, please bring that with you or have it called in to us ahead of time.

Covered California – Health Plans We Accept

All of the physicians and practitioners of Washington Township Medical Foundation are contracted with these Covered California plans. Anthem, Blue Cross, PPO, Blue Shield PPO plan (we are not Accepting Covered California Healthnet).

Hospital Affiliations

Washington Healthcare Systems

Washington Hospital Healthcare System has been serving Alameda County for more than 50 years. Washington Hospital Healthcare System offer special services such as 24-hour emergency services, outpatient surgery, laboratory, medical imaging, and hospice.

University of California, San Francisco

UCSF Medical Center is one of the top 10 premier hospitals and the best in the Bay Area. UCSF is a leading university dedicated to defining health worldwide through advanced biomedical research.

Taylor McAdam Bell Neuroscience Institute

The world-class physicians, physicist, technologists, nurses and other health care professionals at Washington Hospital’s Taylor McAdam Bell Neuroscience Institute use powerful, leading-edge technologies to treat adults and children with a wide range of neurological diseases and disorders.

Helpful Links

• National Brain Tumor Foundation (NBTF)
• Pituitary Network Association
• National Spine Foundation
• American Association of Neurological Surgeons
• Congress of Neurological Surgeons
• Stroke Shield Foundation