Cotswold Family Medicine provides new and existing patients the following forms for download to fill out and bring to your appointment as requested.
New Patient Forms
Release of Medical Records
Paying your Bill
The Online Billing Manager is an easy, secure way to manage your healthcare finances online. This free simple service provides tools that simplify the billing process and enable you to have access to the following:
- View hospital and physician accounts including:
- Account balance
- Patient payments made
- Pending insurance
- Update address
- Update insurance information
- View billing resources
- View billing policies
We understand your healthcare needs may be unexpected and expensive. Our Patient Financial Services can help you with billing questions and your account. Click here to explore our website to learn about accepted insurance plans, common questions about billing, insurance and more.
If you still have questions or need help, please contact us. Our Automated Telephone Access Line at 704-512-4808 or toll free at 800-378-3947. Automated information is available in English and Spanish 24 hours a day, seven days a week. When calling this service, please use a touch tone phone and have your Social Security Number and account number ready.