PATIENT INFORMATION

APPOINTMENTS

We realize that your time is valuable and we try our very best to stay on schedule. We ask you to assist us by:

• Being on time for your appointment

• Bringing your referral if required by your insurance along with your ID and Insurance Card

• Completing your registration and history forms prior to your appointment (available below)

Minors must be accompanied by a parent or guardian. If accompanied by another adult, they should bring written permission giving authorization to treat in the presence of a responsible individual.

Please cancel 24 hours in advance. 

NEW PATIENT FORMS:

https://forms.myupdox.com/form/56974

COVID screener

https://forms.myupdox.com/form/56968

Registration Form

https://forms.myupdox.com/form/56970

Medical History

https://forms.myupdox.com/form/56971

Financial agreement

https://forms.myupdox.com/form/56972

Sleep Questionnaire

INSURANCE ACCEPTED

We participate with most of the major insurance companies in the Metropolitan area:

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• Blue Cross Blue Shield

• United Health Care (commercial only)

• Aetna

• Cigna

• Humana

• Amerigroup 

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If you have any questions about the insurances we accept, or want to hear more about our self-pay option, please call us at 301-479-1236.