Columbo Asthma, Allergy and Immunology - Bryn Mawr and Berwyn, PA

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Columbo Asthma, Allergy and Immunology

Patient Information

Insurance and Payment Information
What to Bring to the Appointment
Patient Forms
Privacy Practices

Insurance and Payment Information

Columbo Asthma, Allergy and Immunology is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for charges that are not covered by your insurance.

If you have questions regarding billing or which insurance plans we accept, please call us at the phone number below. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

What to Bring to the Appointment

Patient's insurance card
Physician referral forms, if required by insurance
List of prescriptions and/or over-the-counter medication, including dose and frequency
Information about the patient's medical and surgical history
Recent x-rays or relevant records
Completed patient forms

Patient Forms

Please print out, complete and sign each of the forms below and bring them with you to your first appointment. Thank you.

Click here for help printing PDF files.

Privacy Practices

Notice of Privacy Practices for Columbo Asthma, Allergy and Immunology
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. An acknowledgment form is included at the end of the notice.

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Columbo Asthma, Allergy and Immunology

Tel: 610.527.2000 ~ Fax: 610.525.6772
www.ColumboAllergy.com

Bryn Mawr Medical Building North
830 Old Lancaster Road #301
Bryn Mawr, PA 19010
VIEW MAP » 1189 Lancaster Avenue
Suite 102
Berwyn, PA 19312
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