Insurance & Forms

We Are Pleased to Accept the Following Insurance:

Aetna
Ambetter
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
Oscar
Tricare Standard
TRS Medicare Advantage
United HealthCare

Download Patient Forms:

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