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New Patient Forms

During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor.  We accept most insurances.

Patient Forms
Please print and fill out the New Patient forms so we can expedite your first visit.

pdf downloadNew Patient Form

pdf downloadHIPAA Privacy

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records

Insurance Information
Our practice accepts the insurance plans listed below and many others. We will be more than happy to verify your insurance and available coverage when you call for your appointment.

We currently accept the following Insurances:

  • Medicare
  • Aetna
  • United Healthcare
  • Cigna
  • BC/BS PPO and HMO
  • Avmed
  • My Blue/ Blue Care
  • GHI
  • Preferred Care (out of network)
  • Tricare

Method of Payment Accepted
Our staff will complete all insurance forms for you and help you recover the most from your benefits. We will do our best to help you afford the treatment you require or desire. Our practice accepts cash and all major credit cards. Checks will not be accepted for the first visit. We also have CareCredit financing for more expensive procedures.


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