Patient Info

Insurance

We accept most major insurance plans for medical services. Here is a list of some of the plans we accept:

• Aetna (Most)
• Blue Cross Blue Shield (PPO)
• Cigna (Open Access/PPO only)
• MultiPlan / PHCS
• United Health Care
• HealthSmart (PPO)

Please contact our office at (469) 769-1961 if you do not see your insurance provider listed.

Patient Forms

If you are a new patient, please print and sign our new patient forms in order to help speed up the intake process.

HIPPA and General Consent Forms

Well Woman Exam Consent Form

New Patient Forms

Authorization to Release Health Care Info FROM GRACE

Authorization to Release Health Care Info TO GRACE

ICON™ Medical History Form