Patient Forms
To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at www.adobe.com.
- Noitce of Privacy Practices - HIPPA Compliance [pdf]
- Payment Policy [pdf]
- Authorization for the Use or Disclosure of Protected Health Information (Film Release Form) [pdf]
Billing & Insurance, and Medical Records
Billing Office
4201 NE 66th Ave., Suite 104
Vancouver, WA 98661
(360) 944-9729
Participating Insurance Plans
Vancouver Radiologists, P.C. accepts most health plans. Please call us at 360-944-XRAY if you need more specific information on covered health plans or if you don't see your health plan listed below.
| Aetna America's Doctor CareMark CCN Cigna Compass NW C.U.P. DSHS First Health Healthcare Direct/North Clackamas HealthNet Kaiser |
L&I Managed Healthcare Northwest Medicare (OR and WA) ODS One Health Pacificare Pacific Source Patient Choice Premera Private Healthcare Systems Providence |
Railroad Medicare Regence Blue Cross Blue Shield (Advantage/HMO/Preferred) Regence of Oregon (HMOO/Preferred Choice 65/First Choice 65) Secure Horizons Travelers TriCare Uniform Medical Plan United Healthcare |
