BLUE CROSS/BLUE SHIELD
HEALTHSMART - North Texas Healthcare
BCE EMGERGIS PPO
HEALTH PAYORS PPO
PPO NEXT PPO
UNITED HEALTHCARE PPO/HMO/POS/EPO
CARE N CARE
PRIVATE HEALTH CARE
1. The Notice of Privacy Practices form describes how patient medical information is used and disclosed and how you, the patient, can have access to this information.
2. The General Patient Authorization form describes our practice policies and payment policies and procedures. It also outlines policies regarding release of patient information.
3. The Minor Consent to Treat form allows the providers in our office to see and treat your child when a parent in not present. All surgical procedures do, however, do require a parent being present.