Downloadable Forms

In an effort to provide you with high quality service, we have provided the following forms online so you may review, fill out and bring them in with you in an effort to expedite your appointment.

If possible, the Financial Policy and Patient Information forms should be filled out prior to your first visit.

Insurance Information

  • NETWORKS
    • PHCS
    • Multiplan
    • Healthsmart
    • Choice Care
    • Aviant
    • Texas True Choice
    • Cigna
    • Beech Street
    • Aetna
    • United Health Care
    • Medicare
    • Medicare Replacement
    • Blue Cross Blue Shield
    • Humana
    • Coventry
  • VISION PLANS
    • Eyetopia
    • Vision Service Plan (VSP)
    • Superior Vision
    • Spectera
    • Ameritas (Secondary Only)
    • Cleat
    • EyeMed
  • MEDICAID
    • Molina
    • Driscoll
    • Superior
    • Traditional Medicaid
  • CHIP
    • Molina
    • Superior