Forms and Payments

Accepts new patients

Medicare Medicaid Workers' compensation Other
Yes No Yes Yes


Medical insurance plans and payment options

Many local plans accepted. Please contact your insurance company to find out if we are in your network.

Cash,Check, Visa, Mastercard, Discover

Office information from Herbert S. Gates III, M.D.

(PDF)New Patient Health History Form

(PDF)New Patient Information Form Page 1

(PDF)New Patient Information Form Page 2


New patients: Please complete all three forms and bring them with you to your first appointment.
 
 
 

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