Forms – Insurance – Payments

New Patient Forms

Insurance vs. Private Pay

Explain dif between the two and why one may choose to private pay v. billing insurance. Include Medicare issues

Insurances Currently Accepted

Neuropsychological Services of Virginia, Inc. no longer accepts insurance and are considered
an out-of-network provider. All services are self-pay. Upon request, we can provide
you with documentation to submit to your insurance company for reimbursement if
applicable.

Insurance Forms

Private Pay

Insurance

Accepted Forms of Payment

Visa, MasterCard, Discover, American Express, Check and Cash