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Resources for Patients

Insurances Accepted
Patient Forms

Insurances Accepted

AETNA
AARP SECONDARY TO MC
ACORDIA
AFFILIATED HEALTHCARE
AMERIGROUP
BANKERS LIFE AND CASUALTY
BEECH STREET
BENEFIT PLANNERS
BENESIGHT
BLUE BELL BENEFIT PLANNERS
BLUE CROSS/BLUE SHIELD
CARE FIRST
CHAMPUS VA
CIGNA
COMMUNITY HEALTH CHOICE
EMPIRE BLUE CROSS BLUE SHIELD
FIRST HEALTH
GREAT WEST HEALTHCARE

HEALTH ADMINISTRATION SERVICES (HAS)
HMO BLUE (DR. SHPATS ONLY)
HUMANA
MEDICARE
NALC HEALTH BENEFIT PLAN
PACIFIC LIFE AND ANUITY
PAN AMERICAN LIFE
PHCS
RENAISSANCE (DR. SHPATS ONLY)
TEXAS HEALTHSPRING (DR. SHPATS ONLY)
TEXAS MUNICIPAL LEAGUE
TEXAS TRUE CHOICE
TRICARE
TEXAS CHILDREN'S HEALTHPLAN (CHIPS)
TEXAS CHILDREN'S STAR
TEXAS MEDICAID
UNICARE
UNITED HEALTHCARE
UTMB HEALTHCARE SYSTEMS
WORKER'S COMPENSATION

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Patient Resources

 

Patient Forms

Patient Forms are available in the Physicians at Sweetwater office, or by downloading them here online. Please be patient when downloading the forms as they are large files and may take a while to appear especially if you do not have a high-speed connection.

If you do not have the Adobe Acrobat Reader software, you can download it free of charge by clicking the link at the bottom of this page.

General:
Patient Form
Patient Information Record

Pediatrics:
Patient Information Record
Assign and Release
New Patient Questionnaire - Age 4 or younger
New Patient Questionnaire - Age 5 or older

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Patient Resources

 

Click here to download
Adobe Acrobat Reader

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