1231 George Towne Dr., Suite G Pewaukee, WI 53072 -Call us at 262-746-9088
Contact Suzanne at info@wimedispa.com to make an appointment.

Insurance & Forms

/Insurance & Forms
Insurance & Forms 2018-02-19T11:08:29+00:00

Patient Log In

Patient Portal LogIn

Medical Release Request Forms

Authorization For Release Of Information FROM Us

Authorization For Release of Information TO Us

Patient Policies

View our cancellation policy, privacy policy, medical records policy, and more.

Insurance Information

Links to Some of the Major Insurance Companies

The following links will assist you in retrieving information on your insurance company’s guidelines for varicose vein treatments.

As always, it is recommended that patients check with their insurance company to see if they are in network BEFORE scheduling with a new doctor or facility.

Some insurance plans require a written referral from your primary care physician prior to receiving any services. You will need to contact your insurance company before your first visit to see if a referral is needed. It is your responsibility to obtain the referral prior to your consultation.

For your convenience, we’ve provided the following to help you with your claims: