Online Forms
We offer our paperwork on line so you can complete it in the convenience of your own home.
Health History
This let’s us know what’s happened, but perhaps more important, where do you want to take your health?
Automobile Accident
If your health issue is the result of a car accident, we need some additional information.
Free AdobeReader®
Each form is a PDF document file. If you do not already have AdobeReader® installed on your computer, click the Adobe® image to download for free.
Financial Consultation
The financial details are the least fulfilling and most frustrating part of what we do. The maze of insurance policies, managed care groups and government programs blur boundaries of responsibility.
But this much we know:
It’s your health – Be careful that you aren’t inclined to minimize your problem or discontinue care too soon because a third party won’t pay for what’s needed.
It won’t cover everything – Regardless of your carrier or specific policy, you can be almost certain that it won’t cover all the care you’ll need!
It’s up to you – Ultimately, you’re financially responsible. Over the years, we’ve seen some carriers arbitrarily balk at reimbursing for certain essential services.
We are participating providers for the following plans:
- Blue Cross & Blue Shield- PPO
- Aetna- PPO & HMO
- Beechstreet
- Focus
- Humana
- Great West
- EMI
- Pacific Life
- Multiplan PACS PPO ECN
We are out of network providers for the following plans:
- Cigna
- GHI
- United Health Care
- Blue Cross & Blue Shield- HMO & Health Options
- Tricare
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