Insurance Information Form (for courtesy filing)

(Note: Important insurance information is available on the "What To Expect" page.)

Self or Physician-Initiated Referrals:

     New patients may request an appointment by electronically completing the secureNew Patient Inquiry Form Once the paperwork is received and reviewed by Dr. Bensimhon, a member of our staff will contact you to discuss the process and schedule an appointment.


    Healthcare providers may also contact our office to make a referral, or fax relevant information to 336-790-9752.  

Form Links:


Dr. Bensimhon is a pediatrician in Greensboro, NC, available for consultation regarding management of attention, mood, learning and other commonly associated challenges. She will partner with children, adolescents, families, and schools to sort out complicated profiles, troubleshoot active issues, educate, and provide medication management where appropriate and desired.