Insurance & Forms

We Are Pleased to Accept the Following Insurance:

  • Blue Cross and Blue Shield Texas
  • Cigna PPO
  • Coventry – First Health Network PPO
  • GEHA
  • Great West Healthcare PPO
  • HealthNet
  • Humana – Choice Care PPO
  • Medicare
  • MultiPlan PPO
  • MultiPlan – PHCS PPO
  • Tricare Standard
  • Texas True Choice
  • TRS Medicare Advantage
  • United HealthCare

Download Patient Forms:

Patient Information Form
General Patient Information Form
Systems Review Form
Financial Policy
Authorization for Release of Health Information
Diabetic Information Sheet
HIPAA Acknowledgment & Questionnaire
HIPAA Notice of Privacy Practices
List of Physicians
Medication List