New Patients
Patient Forms
Please print and fill out the New Patient forms so we can expedite your first visit.
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 and Payment Information
You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call our office. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.
Insurances Accepted
- Medicare
- Medicaid
- AmeriHealth Caritas
- AmeriHealth Medicare
- Independence Blue Cross
- Gateway
- United Health Care
- Aetna
- Keystone
- BCBS
- Aetna Better Health
- UHCMC
- Coventry
- Humana
- Devon
- Highmark Blue Shield
- Highmark IBC
- Medicare DME
- Workman's Comp
- Personal Injury Claims
- Self Pay
