Insurance & Billing Forms

Workers' Compensation Information Form

If you have had a work-related injury and have an open Workers’ Compensation case, this form should be completed before your first visit with your healthcare provider.

 

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PCP Change Letter

We often give this letter to patients who see one physician regularly but have another physician recorded with their health plan. We encourage that you update the member services department of your health plan when you change physicians. Open the link above for a list of common health plans with which we participate and their member services phone numbers.

 

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Westfield Family Physicians

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westfield office

138 East Main Street

P.O. Box 10, Westfield, NY 14787

Phone: (716) 326-4678

Fax: (716) 326-4641

sherman office

115 East Main Street

P.O. Box 570, Sherman, NY 14781

Phone: (716) 761-6144

Fax: (716) 761-6156

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