Patient Forms
Please click on the links below to view and print our patient forms. Please bring these forms with you to your appointment.
Revised Privacy Notice
New Patient Paperwork
Amsler Grid
Insurance Plans
The following are some of the insurances plans we accept. This may not be a complete list so please feel free to give a call to check if we accept your plan.
- Accountable Health/Interplan Health Group
- Aetna
- Averde Health
- BCBS
- Beech Street PPO & W/C
- Care Improvement Plus
- Cigna/Great West Healthcare
- Coventry Commercial, Network Access, W/C, Auto, Mcare Advantra
- FirstCare HMO & PPO
- First Health
- Galaxy
- Health Payors Organization
- HealthSmart PPO, HPO, GEPO, Accel, W/C, Auto
- Humana/ChoiceCare
- Integrated Medical Systems
- Medicaid
- Medicare
- Molina Healthcare – must wait for Medicaid provider number
- MultiPlan/PHCS
- Physicians Health Choice
- Principle Edge Network
- Scott & White Health Plan
- Seton Health Plan
- Sterling Health Plan PFFS & PPO
- Texas True Choice
- Tricare Standard & Prime
- United Healthcare/Pacificare/Secure Horizons
- United Student Resources
- Universal Healthcare Medicare Advantage PPO & PFFS
- USA Managed Care Organization