I want to use your services - what should I do now?
After verifying that we work with your insurance policy, the next step will be to complete the following downloadable PDF forms to complete by hand or using your computer. These forms give us your complete information as well as your authorization for Bill My Health Insurance to bill your insurance plan. Please contact us directly if you have questions about these forms!
To ensure that your insurance is billed correctly and quickly, please complete the following forms and return them to Bill My Health Insurance, care of Manor Healthcare Supply, via mail, fax, or email. Complete all forms by clicking the Full Forms Packet link below. Each Adobe Acrobat PDF file can be completed on your computer through the fillable PDF system. After you complete the forms, either by printing them out and completing them by hand, or by filling them in on your own computer (please be sure to save the files to your personal computer for your records), please return them to us as soon as possible.
Forms can be:
- Mailed to Manor Healthcare Supply at 12730 Spectrim Lane Ste H Midlothian,VA 23112
- Emailed to This e-mail address is being protected from spambots. You need JavaScript enabled to view it by saving the completed PDF file onto your computer and attaching those files to an email through your personal email client (Please remember to save the PDF file to your computer and attach it to your email).
- Faxed to (866) 560-4227