Sleep Needs Of Round Rock
Sleep Medicine Practice for Dan R Baker, MD
***THIS IS A NEW NUMBER FAX #. OUR OLD FAX # WILL BE FAZED OUT BY AUGUST 2023
For specific information about your insurance plan, please call your insurance provider. If you have billing questions call our billing department.
If you do not see your insurance provider listed below, please call for full list of insurance providers we accept. If you are not covered by one of these providers we will ask you to pay for your services at the time of service but will be happy to help you file with your insurance.
Demographic forms and Policy Sheets
Form for release of information,
Print and complete these forms to speed up your visit.
MEDICAL RECORDS REQUEST FORM
ADULT HEALTH HISTORY FORM
PEDIATRIC HEALTH HISTORY FORM
PARENTAL CONSENT FOR TREATMENT OF MINOR PATIENT