Patient Info

Office Forms:

Patient Registration Form

New Patient History Form

History Form for Physicals

Patient Specialist List

Policies:

Payment Policy

Practice Guidelines

Authorization to Leave Messages

Insurance Plans Accepted:

  • Accountable Health Plan: PPO (Pending; call before making an appointment.)
  • Aetna: PPO, POS HMO ASA, Medicare HMO/PPO
  • AvMed: HMO, PPO, POS
  • Beechstreet/CappCare: PPO
  • BlueCross/Blue Shield: PPO, NWB/Blue Options, HMO
  • CarePlus Health Plans Inc.: Medicare HMO
  • Cigna Healthcare: PPO, HMO, EPO, Cigna Select
  • Citrus Healthcare: Medicare HMO, Commercial
  • Evolutions: Select, Prime
  • Freedom Health: Medicare HMO
  • GreatWest Healthcare: HMO, PPO
  • Healthchoice: Healthchoice Select, PPO
  • Humana: Commercial HMO, PPO, Medicare PPO
  • Medicare: Medicare
  • Multiplan Network: PPO
  • Physician United Plan: Medicare HMO
  • Prestige Health Choice: Medicaid HMO (Participation only for inpatient or emergent services.)
  • Private Healthcare Systems: PPO
  • First Health/CCN/Coventry Health Care: PPO (a.k.a. Southcare PPO)
  • Tricare Standard/Indemnity Plan: PPO
  • United Healthcare: Commercial HMO/PPO