Appointments and Forms

We schedule patients by appointment. Please have your insurance card handy when you schedule your appointment and plan to arrive at least 15 minutes early for your first visit.  Remember to bring your insurance card and driver's license or other proof of ID with you!  We request a 24 hour notice to cancel an appointment.

 For New Patients ~

New patient forms are located on the patient portal. To access the portal, enter the patient ID number you were given when you made your first appointment. 

For Established Patients ~

If you have not previously completed the Privacy Practices or the Financial Policy Forms, or if any of your Demographics information (last name, insurance company, address,phone number, employer) has changed, please be sure to fill these out on the patient portal prior to your next visit.

Insurance:

We accept most major medical, PPO, HMO,  Medicare and Medicaid insurance plans. We know that insurance rules can be confusing, and while ultimately it is the patient's responsibility to verify benefits and attain any required pre-certification or pre-authorization from her insurance carrier, our staff makes every effort to assist you in that endeavor.  

Pre-payment of Patient Portion of Obstetrical Care:

Mt Vernon OB/GYN will contact your insurance company to verify 
your benefits for obstetrical care and delivery. Full payment of the 
patient responsible portion of your care is required by the 24th 
week of pregnancy. Please remember, the insurance company will 
only estimate the amount you may owe. The verification of 
benefits is not a guarantee of payment.  Any costs not paid by 
your insurance company will become the patient's responsibility 
to pay. Please call your insurance company if you have any 
questions. The fees prepaid do not include fees for an 
unplanned C-section, multiple births, labs, ultrasounds, 
hospital care, or other fees generated outside of our office.
                                                        
Payment & Billing:

  • Payment is due at the time of service, unless other arrangements were previously made.  We discuss fees and arrange convenient payment schedules for obstetrical care and gynecologic surgery with you at your initial visit.

  • If you have insurance, we will gladly process your forms.

  • We request that you pay your estimated portion when services are rendered, this includes deductibles and co-insurance.   We  accept most major credit/debit cards.

  • The charge to copy medical records is $25.00 and up, depending on the number of pages.  We can mail your records, or scan and send via encrypted e-mail to your insurance company, hospital, home or another doctor's office.  The records are sent after the applicable fee is paid.

Emergencies and Call Schedule:

  • We make every effort to see emergencies in our office immediately, and we keep time slots open in the schedule to accommodate them.  If you are experiencing a life-threatenting emergency, call 911.

  • Dr. Blank shares weekend call with four Board-Certified OB/GYNs.  To reach the on-call doctor after office hours, call our answering service at 770-997-5172.




MVernon OB-GYN, LLC
             Obstetrics    Gynecoloy    Infertility
                                             404-256-2277


755 Mt Vernon Hwy  NE               3400 Old Milton Pkwy
    Suite 330                                Suite 390
Atlanta, Ga 30328                    Alpharetta, Ga 30005


"All the evidence that we have indicates that
it is reasonable to
assume that in practically every human being and
every new born baby, 
​there is an active will 
towards health, an
 impulse towards growth." 
         ~Abraham Maslow 
.