Insuranses

Prior to your visit...

We accept the following insurance plans:

Filling out the following forms prior to your visit will save time on registration.

       
  • 1199

 

  • Affinity

 

  • Aetna

 

Patient Registration Form

  • Oxford

 

  • Americhoice

 

  • GHI

 

Patient Representative Form

  • Tricare

 

  • Cigna

 

  • Magnacare

 

Medical History Form

  • Nippon

 

  • Fidelis

 

  • POMCO

 

Health Assessment Form

  • Medicare

 

Assignment of Benefits Form

  • Blue Cross/Blue Shield

 

Notice of Privacy Practices

  • United Healthcare (except Empire plan)

 

 
  • US Family Health Plan

 

 

  • National Health Administrators

 

 
  • Locals and Unions

 

 

 

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