Make an Appointment

Your Name (required)

Your Email (required)

Your Phone (required)

Your Doctor (required)

New Patient? (required)

Date Requested

What's the problem? (required)

Have you seen an Orthopedist for this condition before? (required)

If yes, what orthopedist and when?
-

Have you been to the Emergency Room for this condition recently? (required)

If yes, when and what hospital?
-

Is your problem the result of a Motor Vehicle Accident? (required)

If yes, what Insurance Carrier and claim number?
-

Is your injury Workers Compensation related? (required)

If yes, what is the claim number?

Have you had any imaging done in relation to this condition recently? (required)

If yes, what areas were imaged?

Insurance Carrier: (required)

Other Notes

Existing Patient

Existing patients are able to use the appropriate online portal to make appointments. Enter the portal using the link below.

Open Patient Portal

https://5544.portal.athenahealth.com/

Questions?

New Patient? Please fill out our new patient forms, bring them with you and avoid the wait!

Still have questions? Feel free to contact us by Phone or E-Mail.

What Should I Bring?

 

  1. Fill out pre-appointment forms and bring to visit or email.
  2. Bring card or email image of both sides of insurance card.
  3. Bring, fax, or e-mail all pertinent medical paperwork.
  4. ALWAYS bring any X-Ray, MRI or other test results.

Health Insurance Carriers

Accepted:

AARP
Aetna
American Family Insurance
American National Insurance
Amerigroup
Anthem Blue Cross and Blue Shield
Blue Cross and Blue Shield Association
Cambia Health Solutions
Centene Corporation
Cigna
Coventry Health Care
EmblemHealth
Fortis
Golden Rule Insurance Company
Group Health Cooperative
GHI
Health Net
HealthMarkets
HealthPartners
HealthSpring
Highmark
Humana
Independence Blue Cross
Kaiser Permanente
Kaleida Health
LifeWise Health Plan of Oregon
Medica
Medical Mutual of Ohio
Molina Healthcare
Premera Blue Cross
Principal Financial Group
Shelter Insurance
State Farm
Thrivent Financial for Lutherans
UnitedHealth Group
Unitrin
Universal American Corporation
WellCare Health Plans
WellPoint

Not Accepted:

Federal Workers’ Comp
Coventry Medicaid
WV Family Health Medicaid