Thank You for Your Request
Thank you for choosing Saint Francis for your nutrition needs. You are on your way to a healthier life. We would like to explain the process and share some helpful hints for making this a positive experience.
- We will send a separate follow up email requesting you attach and email back the following items:
- Identification Card or Driver's License Insurance Card
- Sign the attached forms we send you in the email
- Consent for Treatment Financial Information/Authorization Form
- Advanced Beneficiary Notice only if you have Medicare!
- We advise you check on your insurance requirements and coverage prior to beginning nutrition for your protection from unexpected bills.
- We will bill your insurance for nutrition appointments however it is your responsibility to obtain a nutrition referral, pre-certification or pre-authorization if required. You will be balanced billed for charges your insurance does not cover.
This is a voluntary proactive choice towards becoming healthier. We are looking forward to assisting in your journey to a healthier life with our nutrition/weight-loss program.
If you need any assistance, please contact Maryellen Sparks, APRN, MSN, CBN at 302.421.4121 or email: msparks@che-east.org.