Forms/Resources

Forms & Policies

Before your appointment with us, quickly and conveniently access our patient forms below. Please bring your completed forms with you to our office at the time of your visit.

Patient Forms

 Women’s Health History
 Medical Records Release Form

Privacy Policies

 Notice of Privacy Policy

Insurance & Billing

We accept most insurance coverage; however, it is the responsibility of the patient to verify coverage of services. For insurance holders that require a referral, you must contact your primary clinic and inform the referral clerk that you have been referred to Adefris & Toppin. This should be done prior to your first visit.

If you have not followed these procedures and would still like to be seen, please understand that you will be responsible for any charges incurred if the referral is denied.

Co-payments are due at the time of your appointment. These payments can be made with cash, check, or by credit card.

Billing questions may be addressed to our business manager.

 

We participate in the following plans:

  • Aetna/U.S. Healthcare
  • Aetna/P/O
  • America’s PPO
  • Blue Cross Blue Shield
  • Carestream MVP
  • CCSTPA
  • Choice Plus (Referral)
  • Cigna Health Plan/P/O
  • GHI
  • Golden Rule
  • Health Partners (Referral)
  • Humana
  • Kaiser Permanente
  • Medica IFB
  • Medica
  • Medicaid-MN
  • Medical Mutual
  • Medicare
  • Meritain Health
  • Preferred One
  • Security Health Plan
  • Select Care
  • Tri-Care
  • U-Care- Choice
  • U-Care – Seniors
  • U-Care – General
  • UMR
  • United Health Care
  • United Health Care- Oxford
  • WEB-TPA

Getting Ready for Your Visit

In order for us to provide the best care for you, it is very important that you bring the following items to your visit:

  • Photo ID and Insurance Card
  • A list of your current medications
  • A list of your questions
  • Information about what treatments and medications have been tried in the past
  • Bring your past Medical Records

Our Location

1875 Woodwinds Drive #110
Woodbury, MN 55125

Phone: (651) 686-6400
Fax: (651) 757-3265

 

Office Hours

Monday – Friday: 8:30 am – 5:00 pm
Saturday & Sunday: Closed

We are located in the Birch Center Building which is connected to Woodwinds Hospital.

Social Media

Google Plus

Our Contact

1875 Woodwinds Drive, Suite 110
Woodbury, MN 55125
Phone (651) 686-6400
Fax (651) 757-3265
Open Hours:
Monday – Friday: 8:30am – 5pm