Business Office Contact Form

  • Please complete this form to have your questions and documents sent to the billing department.
  • If you would like to make a payment, please visit our Patient Resource Center.
  • You may submit your Explanation of Benefits (EOB), updated insurance card, or other billing documents by using the attachment section of this page. If you have more than five documents to submit, please submit a new form.

* Indicates Required Information

Example: H1234567 or LH1234567
Please do not include credit card information in this form.
We have updated our Privacy Policy. Our site uses Cookies which allow us to give you the best experience while visiting our site, and help us understand how you use our site. By continuing to use this site, you are agreeing to their use. More about Cookies