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Patient Information

• What to Bring to the Appointment
• Patient Forms
• Insurance and Payment Information
• Hospital Affiliations
• Privacy Practices

What to Bring to the Appointment

• Your insurance card
• Driver's License or Picture ID
• Physician referral forms if required by insurance
• A list of current prescriptions and/or over-the-counter medications you are taking, including dose and frequency
• Pertinent information about your medical and surgical history
• Any recent x-rays or appropriate records you may have

Patient Forms

Please download and print the forms you will need for your appointment. Please complete it and bring it to your appointment. To begin downloading, click on the link below:
Download Patient Forms [PDF]
(PDF/printable page help)

Insurance and Payment Information

Jeffrey I. Silverstein, M.D., is a provider for Medicare, Aetna, Aetna Aexcel, Anthem BC, Amerihealth, Blue Cross/Blue Shield, Cigna, Empire, Horizon BC/BS, QualCare, and many Union Plans.

If your plan requires a referral from your primary care doctor it is your responsibility to obtain it. If pre-certification is required we will be glad to assist you with obtaining it from your insurance company. If we are "in network", we submit billing to your insurance company. Anything not covered by insurance will be your responsibility. Your insurance company may require you to pay a co-payment, deductible, and/or co-insurance, and we kindly request payment of these at the time of your appointment.

We also request payment at the time of your appointment for services that are not covered by insurance, or for services rendered to patients with plans we are "out of network" with.

If you have any questions regarding which insurance plans we are in network with or any patient billing concerns, please call us at 732.683.1617. Questions regarding your coverage and benefits should be directed to your employer or insurance company.

Hospital Affiliations

• Riverview Medical Center
• Robert Wood Johnson University Hospital
• Bayshore Community Hospital

Privacy Practices

Our Notice of Privacy Practices
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.