New Patient Paperwork (NPP) attached below:

New Patient Paperwork (PDF)

Procedure Consent Forms attached below:

Anoscopy Consent Form

Banding Consent Form

FibroScan Consent Form

In Network Insurances

  • Ambetter Commercial Exchange
  • Molina Exchange Network
  • AETNA : HMO, Medicare Advantage Plans, PPO, Prime Medicare Advantage Plan
  • Amerivantage - Medicare Advantage HMO
  • BlueCross BlueShield of TX: Med Adv, PPO, HMO
  • BlueCross BlueShield of TX: PPO, POS, Trad
  • CARE N CARE: Medicare Advantage HMO/PPO
  • ChoiceCare (Humana): PPO, Medicare Advantage HMO, Medicare Advantage PFFS, Medicare Advantage PPO
  • CIGNA: HMO/POS/Network, Open Access Plus, PPO/Choice Fund PPO, Medicare Advantage HMO, Medicare Advantage PPO
  • Cigna Health Springs:
  • Tricare
  • United HealthCare: All Comml LOBs
  • Liberty Health Share
  • Beech Street (MultiPlan) - Accelerated Pmt, Consumer Discount Card, PPO
  • COVENTRY NATL/First Health - PPO
  • Galaxy Healthcare: Medical Savings Card, Medicare Supplement, PPO
  • HealthSmart Preferred Care, Inc: ACCEL, GEPO, Health Payors, PPO
  • HMO Blue Texas: HMO
  • Independent Medical Systems: PPO
  • Integrated Health Plan: PPO
  • MultiPlan: PPO
  • MultiPlan Value Point: PPO
  • Private HealthCare System PPO (MPI): PPO
  • Private HealthCare System Savility PPO (MPI) - PPO
  • TexanPlus (Texas First) - Medicare Adv HMO
  • Texas Bluebonnet: EPO, HMO, PPO
  • The Miers Group LLC - PPO
  • Three Rivers Provider Network - PPO
  • USA Managed Care Organization – PPO

*Note: not in network with Medicaid

New Patient Paperwork.pdf
Anoscopy Consent Form.pdf
Banding Consent.pdf
Fibroscan Consent.pdf
Fibroscan patient booklet.pdf