What to Bring to Your Appointment

Your insurance card Physician referral forms, if required by insurance List of prescriptions and/or over-the-counter medication, including dose and frequency Information about your medical and surgical history Recent x-rays or relevant records

Insurance and Payment Information

George P.H. Young, M.D., F.A.C.S., P.C., is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for charges that are not covered by your insurance, at the time of your appointment.

Your insurance company may require a co-payment at the time of your appointment. When necessary, our staff will work with patients to set up a payment plan.

If you have questions regarding billing or which insurance plans we accept, please call us at the phone number below. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Hospital Affiliations

Dr. Young is afilliated with the following medical centers:

• Lenox Hill Hospital
• North Shore-Long Island Jewish Health Medical Center

Privacy Practices

Our Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. It is given to all new patients and a copy is available upon request.
After reviewing our privacy practices, please print and complete the following forms:

• Acknowledgement of Receipt of Notice of Privacy Practices
• Patient Record of Disclosures (currently under construction)