Woods & Water Medical Center

1019 S Knowles Ave

New Richmond, WI 54017
callinam@my.witc.edu

February 11, 2019

Antonio Columbus, MD
2086 Smith Avenue
Chicago, IL 60624

Dear Mr. Columbus:

We are pleased to provide professional services for you at no charge. If you have health
insurance, we would appreciate assignment of benefits for the covered services. We will be
glad to process your insurance claim for you.

If laboratory and x-ray services are performed outside this clinic, please check with the
providers at the time of service regarding their billing procedures.

Thank you for allowing us to participate in your health care.

Sincerely,

Mark Harfer, MD
Internal Medicine

AC