New Patient Forms

• New Patient Information- Cancer Patient
• New Patient Information- Non Cancer Patient (Heme/Blood Disorder Patient)
• Patient Authorization Form

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.