Patient Resources
Patient Resources
Patient Forms
In order to help us provide you with the best possible treatment and make your appointment with us more convenient, please complete the necessary forms prior to your visit.
- If you are a new patient please complete the New Patient Information Form as well as the Patient Release Form.
- If you are a prior patient, and have not be seen for more than three years: Please complete the New Patient Information Form and the Patient Release Form.
Please note that the forms may be completed online. The forms should then be printed at home and brought with you to your appointment. Patient privacy issues (HIPAA) do not allow the forms to be submitted via email.
Forms
New Patient Packet (Cosmetic Patients)
New Patient Information Form (Spanish – Español)
Insurance Plans Accepted
We are happy to file your insurance claim to these participating companies. This is not an all inclusive list and subject to changes. If you do not see your insurance company listed, please contact our office or your insurance company to verify our participation.
Please always check with your insurance company to confirm that we are in-network participating providers on your health insurance plan to verify your benefits and minimize any out of pocket costs. If we are not in-network on your plan, you will be expected to pay your out-of-network costs for services provided at the time they are rendered.
Updated 04/29/2026
Insurances We DO Accept
- AARP Medicare Complete
- Aetna PPO and HMO
- Aetna open Access- Aetna Select EPO (send to billing to call and check)
- Ameriben Solutions (Imagine Health) Aetna Network
- Averde Health PPO
- BCBS PPO
- BCBS HMO (with referral) (as of 2017 name change to Blue Essentials)
- BCBS BAV HMO (with referral)
- BCBS Health Select (insurance referral required to be seen)
- BeechStreet PPO
- Bravo Health/Health Springs (need referral)
- Care N Care (out of network ONLY)
- Cigna PPO and HMO (with referral)
- Cigna (Allegiance)
- Continental Life Insurance
- Core Source
- Coventry
- Curitive
- Definity PPO
- Evercare (Medicare Replacement)
- First Health (Aetna Network)
- Freedom Life Insurance
- Friday Health Plans
- Galaxy Health
- Healthsmart
- Humana Choice Care
- Humana Medicare PPO
- Humana Medicare HMO (with referral), Gold Plus HMO
- IMS PPO
- InterPlan Health
- Manhattan Insurance Group
- Medicare
- Mutual of Omaha
- MultiPlan
- Olympus Managed Care (Aetna Global Netwok)
- Pacificare PPO (administered by UHC)
- Prime Healthcare Services
- Project Access
- Secure Horizons
- Standard Life Insurance
- TML (United Healthcare Network)
- Tricare South
- Tricare for Life
- Tricare Reserve Select (with referral)
- Tri West (Veteran insurance) (with referral)
- United American
- Unitedhealthcare and Unitedhealthcare One
- Unitedhealthcare Oxford EPO (with referral)
- Unitedhealthcare (Health Select with referral)
- Unitedhealthcare (Well Med Group with referral)
- Unitedhealthcare Student Resources
- Wellcare Advantage HMO (with referral)
- Well Point Marketplace
Insurances We DO NOT Accept
- Aetna Medicare HMO PRIME
- Aetna Aexcel Plus- Aetna Select
- Aetna: Bronze, Silver, Gold, Baylor Scott & White and QHP
- AmBetter
- AmeriGroup (this is Medicaid)
- Baylor Scott & White
- BCBS Independence or California
- BCBS My Blue Health
- Bright Healthcare
- Care N Care (not with in network benefits ONLY)
- Cigna (Baylor Scott & White)
- Cigna: Local plus, Focus Silver Plan, EPO Focus In, EPO Connect
- Connecticare
- Detego Health
- Health Alliance Medical Plans
- HealthLink HMO
- HP Administrative Services: Health Choice
- Humana: Preferred PPO, National POS
- Molina or Medicaid
- Mutual of Omaha Medicare Advantage Plan
- ODS Companies (Sumit Network)
- Oscar Health EPO,PPO,HMO, MC ADV
- PHCS including multiplan
- Point Comfort United
- Tricare Prime
- UHC: Community Health Plan (Medicaid Plan)
- UHC: Compass, North Texas Group (Silver Back), Select Plus POS
- UHC: Exchange Plan
- UHC: Star Plus
- Wellcare Dual Coverage Medicare/Medicaid