Downloadable Patient Forms

 New Patient Registration Form
All new patients must fill out this form and present with your insurance card and copayment to the front desk.

Consent Form
Authorizes our physicians to administer medical treatment.

Authorization for Access to Patient Portal
With the new premier patient portal, you will be able to access your medical information online.

 Accepted Insurance Policies

We accept most Health Care Insurance plans including: AARP, Aetna, Antares, Anthem, Apex (Tier 3), Blue Cross Blue Shield, Buckeye, Caresource, Cigna, Humana Choice Care,  Humana Medicare, Kaiser, Medicaid, Medicare,  Medical Mutual, Tricare/HealthNet, United HealthCare, Wellcare

We ARE NOT in network with Caresource Advantage or SummaCare Medicare. Please contact your insurance company prior to your visit if you are unsure about coverage.