Patient information

Accepted Insurance Plans

PPO Plans

Aetna

Beech Street

Blue Cross

Choicecare Humana

Cigna

Conventry

First Health

Healthsmart

Multiplan

PHCS

United Healthcare

HMO and Medicare Plans

Aetna

Blue Cross HMO and Medicare Advantage Plan 

Humana Medicare Advantage

Cigna

First Health Medicare Advantage Plan

Texan Plus

United Healthcare


Medicare and Tricare excepted as well

We do not except Medicaid 

To schedule, call our office at (817) 481-7727

Please arrive for your appointment 15 minutes prior to scheduled time

What to Bring to Your Appointment

  • Completed paperwork
  • Insurance card 
  • Identification 
  • List of current medications
  • Referral if required by your insurance  
  • Medical records that may be pertinent
  • Payment for services rendered



Cancellation Policy

If you must cancel or change your appointment, please give us at least a 24 hour notice.

PATIENT PAPERWORK

NEW PATIENTS

Please print all forms, complete and bring to your appointment.

DEMOGRAPHICS (docx)

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MEDICAL HISTORY (docx)

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PHARMACY FORM (docx)

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FINANCIAL POLICY (doc)

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NON PARTICIPATING INSURANCE (docx)

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PHI AUTHORIZATION (docx)

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NOTICE OF PRIVACY PRACTICES (docx)

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