Billing Charge Slips (and HIPAA-Compliant Upload)

• Download the OBB Charge Slip below.  Complete the form and save your changes (remember the saved name to help find it later when submitting it in the next step).

• Click HERE to securely submit your completed charge slips, along with other relevant billing materials, to O'Brien's Billing for processing.

To be used in-office if patient is unable to complete the Intake Questionnaire.