ONLINE SCHEDULING @ Mt Pleasant
New Patients Only
Please type in the following information in the “ADDITIONAL INFORMATION” text box at the scheduling page. We need the following information:
PPO Insurance:
In “ADDITIONAL INFORMATION” text box:
If you do not have your insurance info handy:
Name of Insurance company
If you have your insurance info
If patient is the subscriber:
1- Name of Insurance Company
2- Insurance ID #
If patient is NOT the subscriber:
1- Name of Insurance Company
2- Insurance ID #
3- Subscriber full name
4- Subscriber DOB
5- Patient’s relationship to subscriber
No Insurance
In “ADDITIONAL INFORMATION” text box:
type “No Insurance”
Whether you need cleaning.
The reason for your visit
Medicaid
In “ADDITIONAL INFORMATION” text box:
type “Medicaid”