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For Patients

Before Your First Visit

As a service to our patients, we offer the opportunity to complete your registration infomation prior to your first appointment. Visit the Patient Forms section to access all forms for your initial visit.

Before you begin, we understand that the forms appear lengthy, but rest assured that only the highlighted sections need to be filled. Keep in mind that we do need your insurance information recorded on these forms for documentation purposes regardless of whether we have collected it already or not.

Thank you for your patience. It is much more enjoyable to do this in your favorite slippers and sweats!

We would suggest that you:

  • collect your insurance information
  • gather any accident information
  • pull up a comfortable chair
  • turn on your favorite music
  • secure your favorite munchies and/or beverage

Patient Forms

Health Insurance Accepted

  • Company Name

    Phone Number

  • 1199-SEIU

    888-819-1199

  • A.C.N. NE Regional Office
    800-263-9921
  • AARP
    800-277-7789
  • Aetna POS, PPO
    888-632-3862
  • American Health Specialist
    800-972-4226
  • Anthem Blue Cross Blue Shield
    800-843-6096
  • Atlantis Health Plan
    866-747-8422
  • Align Networks
    866-389-0211
  • APWU
    800-222-2798
  • Beech Street
    800-680-8728
  • Cigna PPO, HMO & Open Access
    800-882-4462
  • CNS (Concentra Networks)
    800-432-1776
  • Coventry Health (First Health)
    800-680-8728
  • Crossroads Healthcare Management
    800-323-3165
  • Emblem Health - GHI
    800-471-2033
  • Emblem Health - HIP

    866-447-9717

  • Empire (Anthem BCBS)
    800-676-2583
  • Empire SWSCHP
    877-498-7580
  • The Empire Plan
    877-842-3210
  • Empire MediBlue
    800-552-6630
  • Evercare (UHC Plan)
    800-393-0993
  • Great West Healthcare
    888-663-8088
  • Healthnet
    800-413-8695
  • Horizon Blue Cross Blue Shield
    800-624-4758
  • Integrated Health Plan, Inc.
    888-640-8707
  • Medicare
    877-869-6504
  • Medicaid
    800-343-9000
  • Oxford Freedom Plan
    800-666-1353
  • Perfect Health
    718-370-5380
  • Pomco
    800-234-4393
  • TRPN
    800-966-8776
  • Unicare
    888-209-7978
  • United HealthCare
    877-369-2135
  • US Family Health Plan
    877-842-0727

We also accept:

  • No-Fault
  • Workers' Compensation

We DO NOT accept:

  • Affinity Multiplan
  • Amerigroup
  • Fidelis
  • Health First
  • Hudson Health
  • Health Plus (All)
  • Integra
  • Magnacare
  • Multiplan
  • MVP (Except Cigna)
  • Oxford Liberty Plan
  • PHCS
  • UHC Community Plan