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Download & Print Patient Forms

NEW PATIENTS: Please complete and bring this packet prior to arrival so that we can help expedite your visit.  Arrive 15 minutes prior to scheduled appointment.

Bring the following with you:

- The above completed new patient form

- Form of picture identification (driver's license)

- Your insurance card if applicable

- Medication list (can be listed on the check-in form, or separately)

- Form of payment


If your insurance requires a referral from your primary physician, you will need to have your PCP send us the referral to allow us to see you.

Please plan to arrive 15 minutes prior to your scheduled appointment time.

We try to keep this list updated, however because of frequent changes in the insurance market there may be changes not reflected on this list. Please contact us to see if your plan is covered.
Please call us for details if you don't see your insurance listed or are not currently on an insurance policy.
We currently accept the following insurance plans:

Aetna PPO / HMO
Aetna - Texas Health Aetna
Aetna Medicare Advantage PPO / HMO
BlueCross BlueShield HMO / PPO
BlueCross BlueShield Medicare Advantage HMO / PPO
Cigna PPO / HMO / OAP
Healthspring Medicare Advantage
Humana Choice Care PPO
Humana Medicare Advantage Choice PPO
Humana Medicare Advantage Gold Choice PFFS
Humana Medicare Advantage Gold Plus HMO
Medicare Part B
Multiplan Complimentary Network
United Healthcare PPO / HMO
United Healthcare Medicare Advantage

Don't have a login? Call us.
You should receive login info once you register
with our front desk via phone or in-person.

Insurance Plans Accepted

Other Forms

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