|
|
AETNA Healthcarea
Beech Street
CIGNA
Community Health Plan of WA (CHP)
DSHS
First Choice
First Health
HMA – Health Care Management
L&I
Medicare
Molina Healthcare of Washington
Northwest One
NPN – Northwest Physicians Nerwork
One Health Plan
OWCP – Federal L&I
Pacificare – PPO Commercial
Premera Blue Cross
PHCS – Private Healthcare Systems
Regence: RegenceCare
Regence Healthsence
Regence Health & Life
Uniform Medical Plan
United Healthcare
This list is not
all inclusive so please give us
a call for the most
updated information. |
Patient Information
Form
(All Patients Required)
Insurance
Verification Form
(For Patient Use Only)
Notices
of Privacy Practice Booklet
(For Patient Use Only)
Notice
of Privacy Signature Page
(All Patients Required)
Cancelation
Signature Page
(All Patients Required)
Women's
Health Questionaire
(Only if asked to fill out)
Medicare Cap Notice/Signature
Page
(Medicare Patients Only)
|
