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Questions about Insurance 

​​​​​What billing or insurance information will I receive?

Dr. Cleary does not accept nor file insurance. She is not a Medicaid Provider. You must pay in full at the time of your visit.  We will provide you a superbill with the necessary information for you to file your claim.  

 

Links to claim forms are provided below for Blue Cross/Blue Shield of Alabama and United Healthcare.

 

Blue Cross Blue Shield of Alabama

https://www.bcbsal.org/rapidresponse/pdf/CL-438.pdf

 

United Healthcare

https://www.myuhc.com/content/myuhc/Member/ClaimForms/Static%20Files/CMS1500ClaimForm010402.pdf

 

 

Payment Information 

We accept the following forms of payment:

 

-Cash

-Checks

- Credit Cards: Visa, Mastercard and Discover are accepted

(We do not take American Express)

- Debit Cards- this includes MedFlex debit cards

 

Fee Schedule 

New Patient Appointment - $325

Follow Up Appointment (20-30 minutes) - $150

Follow Up Appointment (45-60 minutes) - $275

Below are the forms that must be completed prior to scheduling your first appointment with Dr. Cleary at Cleary & Associates, LLC. These can be emailed/mailed to you upon your request or you may download them.  Click the link to print out the paperwork.  Once completed you may fax or email them back to us.

 

If you are seeking an appointment for your child, please complete the Child/Adolescent Paperwork.  If you have specific concerns that your child may have ADHD or other school related issues, please also complete the Teacher and Parent Questionnaire/ADHD forms. 

 

Adult patients are typically only seen by Dr. Cleary if she worked with them as a child or adolescent.  If you are an adult and wish to schedule an appointment with Dr. Cleary, please complete the Adult Paperwork.

Child/Adolescent Paperwork

Adult Paperwork

Teacher Questionnaire/ADHD

Parent Questionnaire/ADHD

Patient Resources 

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