Information and Forms

Whether a new patient or one of our returning patients, we keep our primary forms online for your convenience. So, prior to visiting one of our locations, please feel free to download, print and complete the necessary forms before your visit.

New patients will need the following forms:

• Consent Form
• Medical History
• Information Form
• Read the Privacy Policy

Returning patients with changes to their information will need to print and complete the Information Form. Returning patients that have not been seen within the last year, please also print and complete the Medical History form.

Patients needing their Medicals Records released, please print the Medical Release form, complete form and fax, mail or stop by the office to complete the form. Please note that Medical Releases take one to two weeks to process.

Insurance Plans Accepted

• Accountable Health Plan (PPO)
• Aetna (All Plans)
• Affiliated Healthcare, Inc. (PPO)
• Assurant
• Benefit Planners
• Blue Cross and Blue Shield
• Cigna
• Community Care Network (CCN)
• Coventry
• First Health
• Galaxy (PO/EPO)
• Golden Rule (PPO)
• Great West
• Guardian
• Health Smart
• Humana (except Medicare Plans)
• Integrated Medical Systems
• Medicare
• Mega Life
• Multiplan, Inc.
• National Healthcare Alliance
• One Health Plan
• Pacificare
• Physicians Health Choice
• Provate Healthcare systems (PHCS) (all plans)
• Pro-Net
• Seton
• Scott & White Health Plan
• Texas Community Care
• Texas Municipal League (PPO)(TML Intergovernmental)
• Texas True Choice
• Tri-care
• TRS Coordinated Care (PPO)
• Unicare
• United Healthcare (all plans)
• USA managed Care (PPO)