| New
Patient Information & Forms
All patients with Commercial
Insurance (not Medicare, not Self Pay) are required to leave a
$100.00 deposit for copays and
deductibles: cash or credit card only.
This new policy is due to the
large number of defaulted patient accounts as of late.
We accept the following insurances:
Aetna PPO only Beech St.
Blue Cross PPO only Cigna all
Coventry all
First Health Medicare*
United all
Mail Handlers
Humana Gold only (not Humana Medicare)
*We are Non-Participating providers with Medicare.
All Medicare patients pay for their visit at the time of service and
are then reimbursed by Medicare directly
.Please click below to print out the new
patient forms. Fill the forms out and bring them to your
appointment along with your health insurance card and photo I.D.
New Patient Forms
**Please be aware that all co-pays and office visit deductibles
are due at the time of the visit.
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