Participating Insurance Plans:
Aetna Medicare Advantage PPO/POS
Aetna PPO/ HMO
Ambetter
Blue Cross Blue Shield HMO
Blue Cross Blue Shield PPO
Cigna PPO/OAP/HMO
Coalition America (Formerly NPPN)
Galaxy Healthcare PPO
Healthcare Highways
HealthSmart ACCEL/GEPO/PPO
United Healthcare HMO Select
United Healthcare PPO Choice/Options
USA MCO
Medicare
Patient Forms:
New Patient Paperwork
Follow-up Visit Form
Follow-up Visit Form for Telemedicine
Pre-Procedure Instruction Sheet (for Fluoroscopic Procedures)
Discharge Instructions & Information (for Fluoroscopic Procedures)
Pre-Procedure Instruction Sheet (for Ultra Sound Guided Procedures)
Texas Pain Treatment Center Privacy Policy
Authorization to Release Medical Information (Please make sure it is completely filled out)
** Please Note: There may be a fee for records requested.