Forms and Insurance

Patient Forms and Insurance Information

Forms and Insurance (can be filled out at home)

New Patient Registration Forms

Medical Records Release-Authorization Form

Insurances Accepted:

  • BC/BS PPO and HMO
  • Medicare
  • Aetna PPO/HMO
  • United Health Care
  • Humana PPO and HMO
  • Cigna
  • Tricare
  • Workers Compensation
  • US Dept. Of Labor
  • GEHA
  • PHCS
  • WEBTPA

 

* * Our status with these insurance plans may change. Please contact our office to confirm if we are an in-network provider.

New Patient Appointments

If you are a new patient and have not completed your registration forms at home, please arrive early to complete the registration process.  To make registration go smoothly please also bring the following:

  • The Referral if required by your Insurance Plan
  • Your Drivers License or Government ID
  • Your Insurance Information
  • If your are being seen for an ongoing problem or second opinion your Medical Records, MRI's, Operative Reports and X-rays