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Dr. John M. Keggi JOHN M. KEGGI
M.D
Dr. ROBERT EDWARD "TED" KENNON ROBERT EDWARD "TED" KENNON
M.D
Dr. Lee Eric Rubin LEE ERIC RUBIN
M.D
News
   
AAOS 2010 Hip Resurfacing
Techniques in Orthopaedics
Dr Rubin travels to England to learn Birmingham Hip Resurfacing
2010 AAOS presentation: Physician Assistants in Orthoapedic Practice
 
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Call Us at : 203-598-0700
Office Policies & Forms
New Patient Forms (Complete these forms if you are a new patient or have not been seen in over three years.)
New Patient Forms
Returning Patient Forms (Complete these forms if you have not been seen in over one year.)
Returning Patient Forms
HIPAA Forms
Request for access to private health information
Authorization for release of private health information
Verification of identity
Policies and misc forms
Notice of Privacy Practices
Disclosure of potential conflict of interest
Medical History Form
New Patient Combined Signature Form
Medication Policy
Medication Record
HIPAA Release Form
Medical History Update
Hours and Directions
Hours and Directions to our Middlebury office
Hours and Directions to our New Milford office

 

Appointments are required. We are sorry that we cannot accommodate walk in appointments. Please give 24 hour notice if you are not able to keep a scheduled appointment.

 Please advise us if there has been any change in your address, phone number or insurance coverage since your last appointment.

 Payment is expected when services are rendered unless prior financial arrangements have been made.

 HMO SUBSCRIBERS:

Any HMO required referrals are the patient's responsibility.  If your insurance requires a referral and you do not have a referral for your office visit, you will be asked to reschedule your appointment.
Insurance cards and copays are required at time of service.

As a courtesy to our patients, we will bill any commercial insurance carrier assigned, but the patient remains financially responsible for all services furnished. Any outstanding balance after 60 days from the date of invoice is considered in default.

 Workers' Comp patients must bring all applicable insurance information to initial appointment including:

Billing address and phone number
Adjuster name and phone number
Claim number