Leslie Westfield PhD PC & Associates requires verification of health insurance coverage, letter approving authorization for treatment (if required) and other specifics such as amount of co-payment you will be responsible for prior to your visit.
This policy has been implemented to allow you to spend more meaningful time with your doctor and ensure our patients do not experience additional stress related to health coverage issues and unexpected financial burdens related to your treatment.
New patients unable to verify their mental health insurance coverage and authorization for treatment requirements.
Please be patient as it may take our office 24 to 48 hours to verify depending on your insurance company's verification protocal and then secure your appointment.
The following information is needed:
Your Name
Patients name (if different)
Phone Number (where we can contact you)
Cell Number (if you have one)
Date of birth
Email
Insured person's name as it appears on the insurance card, date of birth and relationship (spouse, child; if different from the person having the appointment)
Insurance Company Name
Phone number for the insurance company (usually found on the back of the card)
Insurance Group number
Insurance ID number
Phone number where you can be reached if any questions arise
This information can either be entered on our confidential and secure website when you self schedule your first appointment or by faxing information to (702) 446-8017.
Medicare and other insurances may require a physician referral and/or authorization prior to the first appointment. It is the responsibility of the insured to check with the insurance provider to determine coverage requirements prior to appointment. Please have doctor's referral or treatment authorization faxed to (702) 446-8017.
Most managed care plans require a referral or authorization prior to being treated. Please contact your insurance company to obtain authorization or request a referral from your doctor (PCP) prior to the first appointment or services provided may not be covered by your health insurance plan. Authorizations for treatment and doctor referrals should be faxed to (702) 446-8017.
Please try to arrive a few minutes before your scheduled appointment to complete any paperwork needing completion prior your scheduled appointment time. For your convenience you can obtain the Registration, New Patient Intake, Consents and HIPAA Information/Privacy Forms from this web page. Bring the completed forms with you, in order to allow for more time in your intake.
New Patient Intake
Registration Form
Release of Information
Consent for Treatment
Informed Consent
If you can not access forms online and would like to receive via email please request forms by going to 'Contact page' or emailing [email protected].