Forms

Forms
Each provider has their own fee schedules for services rendered. Some providers accept insurances including Aetna, Blue Cross, UnitedHealthcare, Cigna, Medicare and Medicaid. Others only accept cash. Payment or co-pay is due at the time of service.

For your convenience, you may print out the required forms below to fill out ahead of time. Be sure to bring the completed forms with you.
New Patient Packet
Sliding Scale Application
Slide Scale Requirements
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