New Patient Information & Forms
Please take a few minutes to download, print and complete the following three forms prior to your visit with us. Also, ask the receptionist how you can fill out the information Electronically.
New Patient Form
Insurance Authorization Form
HIPAA Form
New Patient Information & Forms
For your convenience, we have our new patient forms for your perusal above. Please take a few minutes to download, print and complete the three forms prior to your visit with us. Also, we have a patient's portal where you can fill out the pertinent information electronically. You will be sent an Email invite to sign up for a patient's portal after you make your appointment with us. This way, our doctor has more time to spend with you. We appreciate your effort.
If Your Insurance Requires a Referral
If your insurance requires a referral for you to be seen by a specialist, please do not forget to bring your doctor’s referral with you at the time of your appointment. Without it, we cannot bill your insurance for your visit.
Accepted Insurances
We accept all major insurances. However individual physician’s network participation may vary. In order to receive the highest level of benefits, please check with your health plan to verify physician participation. Please contact our office for verification.
- AARP
- Aetna
- American Postal Workers Union (APWU)
- Bankers Life
- Blue Cross/Blue Shield (BCBS)
- Carefirst
- ChampVA
- Cigna
- Coresource
- First Health
- Government Employees Health Association (GEHA)
- Great West
- Health Net
- Humana
- Informed
- John Hopkins
- John Hopkins – US Family Health Plan
Accepted Payment Methods
For your convenience, we accept major forms of payment, including Visa, MasterCard, AmEx and Discover.