Insurance & Patient Forms


New Patient Forms
For your convenience, our new patient forms are available for download. Choose Microsoft Word or PDF format.


 

Now accepting the following insurance plans:
  • Aetna
  • The Beacon Company
  • BeechStreet/CappCare
  • BCBS of NC
  • CIGNA
  • Community Care Network (CCN)
  • CNA Health Partners
  • CompCare Network/Key Risk
  • CompManagement
  • Comp Plus/Prime Health Services
  • Corvel/CorCare
  • CorVel Corporation
  • Coventry Health Care of the Carolinas
  • Crescent PPO
  • Doctors Health Plan
  • Duke Health Direct
  • Evolutions Healthcare
  • Employers Choice Network
  • First Health/Affordable
  • Focus Healthcare Management
  • Fortified Provider Network
  • Galaxy Health Network
  • Health Care Savings
  • HealthScope Benefit
  • Integrated Health Plan, Inc
  • IPA of NC
  • Kanawha HealthCare Solutions (also Preferred)
  • Managed Care State
  • MedCost
  • Medicare
  • Mountain Health Care
  • MultiPlan, Inc.
  • One Health Plan of NC
  • Physicians Care Network
  • Partners of NC/SC
  • Primary Physician Care
  • Private Healthcare Systems
  • Provider Networks of America
  • Provider Select, Inc.
  • QualChoice
  • Rockport Community Networks
  • SouthCare Healthcare Preferred
  • TheZenith (formerly RISCORP)
  • Three Rivers Provider Network
  • Trigon Administrators
  • United Healthcare
  • United Payors & United Providers
  • USA Managed Care Organization