*Required fields are marked with an asterisk.
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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
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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.
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Records Release Forms
Consent for Treatment of Minor Child
- For providing AHNE with a list of authorized people to bring your child in for treatment.