Insurance & Billing
DCH Health System accepts all forms of valid insurance coverage and we will coordinate with your physician or referring facility to gain all necessary pre-certification and/or authorization. However, not all insurance policies are considered in-network. This is especially true regarding out of state insurance policies. In this event, a higher patient out-of-pocket payment will likely occur. If you have any questions, please call your insurance company for in and out of network benefits.
Our full-time financial counselor is available at the Manderson Cancer
Center to answer insurance and billing questions. Patients who may be
experiencing financial difficulties during their cancer treatment can
receive experienced guidance to manage their individual situation. Call (205) 759-7491
to contact our financial counselor.
Click here to download an Advanced Directive (Living Will).
New Patient Forms
Click on the links below to download and print the forms you need to bring with you to your first appointment.
New Patient Referral Form
New Patient Letter
New Patient Information - Cancer Patient
New Patient Information - Non Cancer Patient
Patient Authorization Form