Prepare for your visit

Dr. Saperstein and the Center for Complex Neurology, EDS & POTS wants you to have a successful visit. In working together on your care, we can provide you with the best of Dr. Saperstein’s expertise and an excellent experience for you, our patient.

Please be sure to send the following in advance:

  • A copy of your insurance card – both front and back. No scanner? You can use your smartphone or tablet to take a photo!
  • Complete Dr. Saperstein’s EDS/POTS Questionnaire so we have a better understanding of your symptoms.
  • Medical Records from your prior physician and your current primary care provider. You can use our form to print out and drop off or fax to your doctor’s office (no fax? Email it to us and we’ll fax it for you!)
  • Log into the Online Portal and complete all the forms (Don’t have a link yet? Click here to get a link from our office).
  • Review HIPPA and completed Receipt of HIPPA.
  • Completed Financial and Appointment Policy Form.
  • Please review our Financial and Appointment Policy. You will be expected to sign this during the intake process on the portal.
  • You are responsible for getting an authorization from your insurance company.

Be prepared to pay your copay or coinsurance at the time of registration for your appointment.
Questions? Feel free to contact our office

Forms

Please note that though we are happy to complete forms on your behalf, there is a charge of $50 for most forms that are required by Human Resources, Government Agencies, Attorneys, Schools and Life/Disability Insurers. These forms take time to complete based upon your individual needs and require Dr. Saperstein’s expertise, signature and approval. To meet our patients’ needs, we have a contractor who takes care of this for us.

Our fees are as follows:

  • FMLA Paperwork $50
  • Disability Paperwork (ST or LT) $50
  • Accommodation Paperwork $50
  • Service Dog/Emotional Support Animal $25
  • Jury Excuse $25

We are contracted with the following:

  • Aetna HMO Commercial
  • Aetna Medicare Avantage
  • Aetna Open Access
  • Aetna POS Commercial
  • Aetna PPO Commercial
  • Arizona Foundation POS Commercial
  • Arizona Foundation PPO Commercial
  • Banner Health Network (BHN) Aetna Prime Medicare
  • Banner Health Network Aetna Whole Health
  • Banner/Aetna
  • Blue Alliance HMO OA
  • Banner Health Network CAC
  • Banner Health Network UHC Medicare Complete HMO (Plan 1)
  • Banner Health Network UHC Medicare Complete HMO (Plan 2)
  • Blue Cross Blue Shield of AZ HMO Commercial
  • Blue Cross Blue Shield of AZ Indemnity
  • Blue Cross Blue Shield of AZ PPO Commercial
  • Blue Cross Blue Shield of AZ Sr. Preferred Medicare Supplemental
  • Cigna LocalPlus
  • Cigna Open Access Plus
  • Cigna HMO Commercial
  • Cigna Open Access
  • Cigna POS Commercial
  • Cigna PPO Commercial
  • HealthNet Federal Services – TriCare West
  • Medicare Part B
  • MultiPlan/PHCS Commercial PPO
  • Three Rivers Provider Network (TRPN) PPO Commercial
  • United Healthcare – EPO Commercial
  • United Healthcare – HMO Commercial
  • United Healthcare – POS Commercial
  • United Healthcare – PPO Commercial
  • United Healthcare – UHC Medicare Advantage