Are you a new patient to our practice?

Please fill out the paperwork below before your first visit or arrive 20 minutes prior to your appointment to fill out in office.

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• Aetna  (Including Banner Aetna Plans)​
  
• Ambetter
  
• Arizona Foundation for Medical Care
  
• Arizona Medical Network/Rural Arizona
  
• Network (AMN/RAN)
  
• 
  
• 
  
• Beech Street Network
  
• Blue Cross Blue Shield
  
• Evolutions Network
  
• FPN
  
• Galaxy Network
  
• GEHA​
• Great West
  
  

​​These forms allow patients to authorize records to be sent or obtained by Caring For Families:

Releasing & Obtaining Medical Information

CARING FOR FAMILIES

Please Note: All fields are required on new patient paperwork.

New patients over the age of 18 are required to fill out new patient paperwork before their first visit. Pediatric patients 17 and under will need to have paperwork filled out by a guardian.

Accepted Insurances

Call Us:  +1- 480 -783 -7000

Insurance Information

• Health Net​
  
• Health Star Network
  
• HMN
  
• Humana (Choice Care Network Only)
  
• IHP
  
• Lifewise
  
• Medicare 
  
• MultiPlan
  
• OptumCare/Lifeprint (Established Patients Only) 
  
• Private Health Care Systems (PHCS)
  
• Three Rivers Network
  
• United Healthcare
  
• United Payors
  
• USA

Insurances Not Accepted 
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We accept most major insurance companies, below you will find lists of common insurance companies we accept and do not accept. However, due to the many different insurance plans available, please contact your insurance to verify if our office/providers are in network with your specific plan even if it is listed below. Also, for any HMO plans, one of our providers must be listed as the designated PCP prior to your appointment.

​We do also offer discounted cash pay prices for any patients needing to pay Fee For Service, please call for pricing.

Please Note: Our office DOES NOT verify insurance benefits prior to your appointment. 

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• ​AHCCCS (Any and All Plans)
  
• CMDP
  
• Care 1st
  
• Health Choice
  
• HealthNet Access
  
• ​Kids Care
  
• Maricopa Health Plan
  
• Mercy Care
  
• Phoenix Health Plan
  
• United Healthcare Community Plan
  
• University Family Care
  
• Workman's Compensation
  
• CHAMPVA
  
• TRICARE
  
• First Health Network​
  
• ​Coventry