Pre-Registration

Pre-registration is important because it allows you to know that you are prepared prior to your day of delivery. Pre-registration allows you to verify your insurance coverage and plan financial arrangements. The Newborn Associates bills separately from your hospital.  After you fill out our online form we will give you an estimate of your charges so you will know what to expect.

 

Pre-registration with The Newborn Associates is easy. Simply click on the link below and either:

A. print out the form (click here for PDF Download), fill out, and fax to (769) 251-5429 or scan back to us through email (send to: jchalk@newborndocs.com).
 

B. Click here for PDF Download, save and fill out the form in Adobe Acrobat Reader before submission. Then return to us by email (send to: jchalk@newborndocs.com). NOTE: If you do not have the latest version of Adobe Acrobat Reader please download here and install before downloading the PDF form. 

 


Please note that since newborn circumcision is an elective procedure often not covered by insurance, our policy is to require payment prior to performing the procedure. It is the policy of The Newborn Associates to collect the deductible, co-insurance, and non-covered items in advance.