Insurances We Participate With

  • Medicare
  • Railroad Medicare
  • Admar
  • Aetna
  • Accountable
  • Az Foundation for Medical Care
  • AHCCCS:
  • APIPA
  • CARE 1st
  • HEALTH CHOICE
  • MERCY CARE
  • Az Medical Network
  • Blue Cross & Blue Shield
  • Beech Street
  • Benesight
  • CCN
  • Cigna
  • Cigna/Connecticut General
  • Cocare
  • Cofinity
  • Conseco
  • EBMS
  • First Health
  • Health Net
  • Humana
  • John Alden
  • Lifewise
  • Medica
  • MIHS/MMCS
  • Multiplan
  • Mutual of Omaha
  • One Health
  • Pacificare
  • Personal Care Plus
  • Private HealthCare Systems
  • Preferred Care
  • Principal
  • Prudential
  • Sloans Lake Managed Care
  • Three Rivers Provider Network
  • Tricare/Triwest
  • United Healthcare

Patient Forms

If you have questions or need assistance about any other insurance plan, please call our office at (928) 317-9200 or fill out our online Contact Form.

The following form can be downloaded to your computer and printed at home. By filling out this form ahead of time, you will save a significant amount of time during your visit. Please be prepared to provide this information to our office along with your current medical insurance information. If you have any questions when filling out this form, please do the best you can and our staff will assist you with your questions on the day of your visit.

Note: These files are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here or on the Get Adobe Reader icon.

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