DOWNLOAD AND PRINT Patient Forms
Click below to download a pdf file to your computer. Please print and fill out forms; bring with you to your appointment.
Insurance Companies in Network
  1. Anthem (PPO)
  2. BlueCross BlueShield
  3. Aetna Insurance Company (PPO)
  4. WVU-East (Wells Fargo)
  5. Optima Health Insurance (PPO/HMO)
  6. PEIA (Aetna Signature)
  7. United Healthcare (PPO)

Thank you for choosing Dr. Laura Dabinett
and Dr. Carolyn Wilson.


The new patient forms can be downloaded from this page, completed and brought to your first appointment. Please arrive 10 minutes early to allow processing of your paperwork. If you have medical insurance, please bring your insurance card to your visit. We copy your card to send with any specimens that are sent to the lab. The lab will file with your insurance company for the processing of these specimens.

The insurance companies the physicians participate with are listed to the left of this page. If your insurance company is not listed, we do not file a claim for you. We do provide our patients with an itemized statement to submit to their insurance company for reimbursement. We also give a ten percent discount if payment is received in full at the time of your visit. If surgery is necessary, our office will file a claim for you and offer different options for payment.

Dr. Dabinett and Dr. Wilson have opted out of Medicare and Medicaid. If you are a Medicare or Medicaid patient, you must sign a waiver stating that you understand we cannot file any charges to them and you will not be able to submit your claim to Medicare or Medicaid for reimbursement.

Please notify our office 24 hours prior to your appointment date or we will charge $25.00 for a missed appointment.

We look forward to seeing you.