Your Visit

Forms & Insurance

We want to make sure that your questions are answered and  your visit is seamless, informative, and fruitful. Please Bring along with you the following:

  • Health Insurance Card/Information
  • Picture ID
  • A list of all medications you are taking
  • A list of your questions /concerns
  • A copy of your XRAYS / CT scans (not the reports - please get the actual films preferably in a CD ROM)
  • Copies of pertinent records from your referring physician or any other physicians you might have seen before your visit with us.
  • please download, print, and complete the forms provided on this page prior to your visit.

Patient Portal


Our Patient Portal allows you to directly fill out some of our forms and enter your medications into the system without having to print the forms.

 

Visit Our Patient Portal

 

Forms


Insurance We Accept

Insurance & Forms

AETNA

AV-MED

Blue Cross Blue Shield

Blue Cross Blue Shield MEDICARE HMO

BCE EMERGIS

BEECH STREET NETWORK

CIGNA

COMM CARE NETWORK

COVENTRY NETWORK

EVOLUTIONS

FHHS

FHHS-ROSEN HOTEL

FIRST HEALTH NETWORK

FORTIFIED PPO

FREEDOM HEALTHCARE

GOLDEN RULE

GREATWEST

HARRINGTON BENEFIT

HUMANA COMMERCIAL

HUMANA MEDICAID

HUMANA Medicare HMO

HUMANA Medicare PPO

MEDICARE

MEDICARE Rail Road

MEDICAID

MULTIPLAN NETWORK

NPPN NETWORK

Optimum Healthcare

PHCS NETWORK

PPO NEXT

PUP

SUNSHINE STATE

TRICARE STANDARD

UMR

United Health Care

WELLCARE

STAYWELL

HEALTHEASE