*Required fields are marked with an asterisk.
Patient Info


                                


Please arrive early for your appointment to allow for proper check-in -- 15 minutes for established patients and 30 minutes for new patients.


Participating Insurance Companies
  • Aetna
  • Blue Cross Blue Shield (BCBS)
  • Blue Medicare HMO & PPO
  • Cigna
  • Champus / Champva / Tricare
  • Coventry
  • Humana Medicare HMO, PPO, & PFFS
  • Medicare
  • Railroad Medicare
  • Medicaid
  • Medcost
  • NC Health Choice
  • Primary Physician Care
  • UHC
  • UMR

 
IMPORTANT EXCEPTIONS

An electronic referral number from
UHC is required from a patient’s
Primary Care Physician for ALL
UHC Marketplace plans.

AHNE does not participate with UHC
HMO at this time.








Records Release Forms
Consent for Treatment of Minor Child


          


The above forms are in PDF format. You can download Adobe's free Acrobat Reader here.