Forms & Insurance

Before your first visit please take a moment to fill out the Patient Registration and Patient Medical History Forms, as well as sign the Notice of Privacy Practices Form

Patient Forms

Accepted Insurance

  • Aetna
  • Anthem Blue Cross
  • Beech Street
  • Bule Shield
  • Cigna/Ash
  • Emergency Occupational Illness
    • Medicare
    • Medrisk
    • Tricare
    • United Health Care
    • Workers’ Compensation
We are contracted with most Workers’ Compensation Carriers We accept all auto insurance We accept some claims on a lien basis We accept self-pay patients on a sliding scale (call for an inquiry) **Other plans accepted, please call us to check if your plan is not listed**