Patient Forms
Patient Information
Patient Intake Form
Authorization Form for request medical records
Authorization Form for release medical records
Insurance
- Aetna
- Mail Handlers
- Meritain Health
- IE Shaffer
- HMO, PPO, Medicare
- SEIU
- Aetna Better Health
- BCBS Highmarak
- Cigna
- Bravo Health
- Great West
- HMO,PPO
- NALC
- Cigna Health spring
- Coventry Healthcare
- Gateway Healthcare
- Health Partners
- HOP Administration Unit
- Humana
- Independence/IBX
- Amerihealth
- Personal Choice 65
- Personal Choice Select
- Keystone Select
- Keystone HMO/65
- Keystone Health Plan East
- Keystone Focus
- Keystone PA
- First
- VIP Choice
- Medicaid
- Medicare
- Multiplan
- Tricare Standard
- UHC
- Commercial
Financial Information
We also accepts patients without access to health insurance. Our example prices:
- Office Visit (Includes EKG)- $200.00
- Echo Test- $200
- Stress Echo- $300
- Carotid- $250
- Abdominal Aorta $150
