INSURANCE & FORMS

Upon arrival to our office, new patients will be asked to complete our computerized check in system. Please bring with you a Photo Id, your Insurance Card, and be prepared to take care of any Co-Pay or Co-Insurance required of your Insurance plan.

Authorization to Disclose
Disclosure Authorization
Notice of Privacy Rights and Practices
Financial Policy
Workers Compensation Form

Notice of Non-Discrimination

Participating Insurance Plans

BCBS of Nebraska
CoOportunity Health
Coventry/Aetna
Department of Labor
GEHA
Humana
Medicare
Midlands Choice
Private Health Care Systems
Tricare
United Health Care