Blue Sky Patient Forms
- Privacy Policy (76.834 kb)
- Medical History Form (15.171 kb)
- Consent to Treat (18.62 kb)
- Medical Records Release (24.173 kb)
- Financial Policy (542.106 kb)
- Patient Information Form (25.301 kb)
All forms are in the Adobe Acrobat® PDF format. Get the free Acrobat Reader® here or click on the graphic below.
Below is of list of Insurance Companies that we have a contract with:
- Aetna
- Blue Cross, Blue Shield
- Cigna
- Crescent
- Healthchoice
- Humana (Choice Care)
- Medcost
- Medicaid
- Three Rivers Provider Network
- Tricare/Champus (Standard Only)
- United Healthcare
Other Insurance:
We will file your insurance as a courtesy to you. We will not be able to tell you what portion of the charges will be your responsibility until after your insurance processes your claim. You can call your insurance company and check your benefits for out-of-network coverage.
Note:
If you have insurance that we do not currently have a contract with and you would like for us to check with them about becoming contracted, please let us know.