Forms & Insurance

Please print the new patient forms and bring completed with you to your first appointment.

Please make sure to review and sign our cancellation/no show policy.    
***WE REQUIRE 24 HOUR NOTIFICATION FOR CANCELLATIONS TO AVOID A $40 CHARGE***    
We take into consideration sudden illness and emergencies.

Please arrive 15 minutes before your scheduled appointment.

New Patient Forms

HIPPA Notice of Privacy Practices (No need to print this – simply review it prior to your appointment)

ACCEPTED INSURANCE:
Insurance providers below marked with an asterisk (*) are out-of-network. Please call to verify your out-of-network benefits.

  • Aetna*
  • Blue Cross Blue Shield
  • Cigna*
  • Humana
  • Humana Medicare Replacement Plans
  • Medicare
  • Sendero (IdealCare)
  • Tricare
  • United Healthcare
  • Workmen’s Comp.

Meet our team. Se habla español. Preguntar por Lee Galvan.

512-892-5250