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Please use the following links to print and fill out our insurance coverage and patient health history forms. The forms are in the PDF format; in order to view them you will need a PDF viewer such as Adobe Reader. If you do not have Adobe Reader you can click here to download it FREE.

Forms coming soon!
Insurance / Managed Care Plans Accepted:
Aetna
Blue Cross/Blue Shield
Cigna
Humana
United Healthcare
Medicare
We accept all forms of payment: Cash, checks, debit cards, all credit cards and most third party reimbursements (attorney liens, Workman's Compensation disbursements, major medical insurance plans and auto insurance medical payments coverage).
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