VHS Invoicing

VHS Patient Invoice Form

To help us provide efficient service during our visits, please complete an invoice form for each patient before our doctor arrives at your hospital. Having the forms completed in advance helps keep the day organized and ensures we have the information needed for accurate, timely reporting and billing.
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Please click the invoice image below, complete all required fields, and print one form for each patient. Have all completed forms ready for our doctor upon arrival.

Downloadable File

This is a fillable PDF document.
Whenever possible, please complete the form electronically to ensure all hospital and patient information is clear and legible for accurate reporting and billing.

Thank you for your patience and support
​as we transition to this new invoicing system.