How to Apply to Become a Patient of
NorthRiver Primary Care:

 


 

 

  BEFORE SUBMITTING YOUR APPLICATION:  

There are several insurances we may not be in network with, or are not accepting applications from at this time. 

Please click the following link to verify if we are currently in network with your insurance :

Billing Info

Please note, these are the insurance companies we are currently in network with and may file claims to. 

New patient applicants, holding these insurances,

may still be declined as we may not be able to accept all applicants.

 


 
 

Once you have verified your insurance(s), please click the button below to print a new patient application

 

 

You may return your application to our clinic:

by fax: (205) 710-2105

email: info@northriverpca.com

in person: 4310 Watermelon Road, Northport, AL  35473

 

To ensure our staff has all information necessary to approve your application, when submitting your application, please make sure:

all pages are complete, signed and dated

to return with a copy of your ID/Drivers License

to return with a copy (front and back) of each of your health insurance cards

to return with a copy (front and back) of each of your prescription insurance cards 

***Incomplete applications will not be approved***

 

Once we have received your complete application, it will go into review with our billing office, as well as our provider, for approval.

The approval process normally takes around 2 weeks, but can take up to 30 days to complete.

 

 

Once a decision has been made, our staff will notify you by phone.  Approved applications must set up their initial visit with the selected provider within 30 days to establish care. 

If you No Show or Cancel this Initial Appointment, you may not be able to reschedule in the future.

 

 
Routine/Wellness/Chronic Care/Weight Loss Appointments:

 

To maintain optimal wait times, all patients are seen by appointment for routine health maintenance, annual wellness exams, management of chronic medical conditions, and weight loss consultations with our NorthRiver Wellness & Weight Loss  Center.

Please plan to arrive at least 15 minutes before your appointment time, with your driver’s license/ID and  insurance cards, to allow the front staff to gather all necessary information to maintain your account.

We will send a courtesy reminder call/text two days prior to your scheduled appointment.*

*Since our reminders are sent two days in advance, if your appointment is made after this time, you will not receive a reminder call/text.

 


 
Sick/Walk-In/Same Day Appointments:

 

Our providers will make every attempt to work in all of our sick patients on the same day, as a walk-in.  

Please call as early as possible if you, or a family member, need to set up a same day appointment.

 

 


 
Appointment Cancellation:
 
We request a minimum of 24 hours notice if you are unable to make your Routine or Weight Loss scheduled appointment.  This allows our staff the opportunity to reschedule your appointment for you as well as to work in patients without a current appointment.

 

There is a $50.00 No-Show Fee for all Routine/Wellness/Chronic Care/Sick (Walk-In) Appointments that are not cancelled/rescheduled & a $50.00 fee for all NorthRiver Wellness & Weight Loss appointments that are not cancelled/rescheduled within the requested time.  Weight Loss appointments cancelled on the date of appointment will be charged a $50 cancellation fee.
 
 
A ‘No-Show’ is defined as a patient’s failure to cancel/reschedule your appointment at least 24 hours in advance.

 


 

 

 

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