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ROHR AND COLUMBO
Asthma, Allergy and Immunology Specialists

Patient Information

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

Insurance and Payment Information

Rohr and Columbo Asthma, Allergy and Immunology Specialists is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for charges that are not covered by your insurance.

If you have questions regarding billing or which insurance plans we accept, please call us at the phone number below. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

What to Bring to the Appointment

  • Patient's insurance card
  • Physician referral forms, if required by insurance
  • List of prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about the patient's medical and surgical history
  • Recent x-rays or relevant records
  • Completed patient forms

Patient Forms

Please print out, complete and sign each of the forms below and bring them with you to your first appointment. Thank you.

Click here for help printing PDF files.

Privacy Practices

Notice of Privacy Practices for Rohr and Columbo Asthma, Allergy and Immunology Specialists
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. An acknowledgment form is included at the end of the notice.

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Rohr and Columbo Asthma
Allergy and Immunology Specialists

Tel: 610.527.2000 ~ Fax: 610.525.6772
www.RohrColumbo.com
Bryn Mawr Medical Building North
830 Old Lancaster Road #301
Bryn Mawr, PA 19010
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209 West Lancaster Ave. (Plank Ave.)
Suite 101
Paoli, PA 19301
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