Forms

Welcome!  Thank you for trusting us with your care.

Completing your forms in advance will save you time at your visit!

 

Commercial Insurance

Medicare

Worker's Compensation

Auto

 

You may return your forms to us in advance by fax -301-658-6877 or simply bring the forms with you on your first visit.

 

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We are in network with the following insurances and workers comp plans:

  • United Healthcare of Mid-Atlantic- MD
  • Blue Cross/ Blue Shield Federal
  • CareFirst Blue Cross/Blue Shield
  • Aetna
  • Cigna
  • Medicare
  • Medicaid
  • Amerigroup
  • Align Networks
  • Health Net - Veterans Choice Program
  • Riverside Health
  • Universal Smart Comp
  • Johns Hopkins Healthcare
  • Employer Health Plans (EHP)
  • US Family Health Plan (USFHP) - Tricare
  • Priority Partners
  • Maryland Physicians Care - Health Choice Program
  • MAMSI
  • OneNet PPO
  • UHC - Navigate
  • Evercare
  • MedRisk
  • Cypress Care
  • Universal Smart Comp
  • TechHealth
  • Rockport
  • Health Systems International
  • Align Networks
  • Heartland Therapy
  • Integrated Health Plan, Inc

... and more.  If you don't see your insurance listed, give us a call.

1401 Mercantile Lane, Suite 107, Upper Marlboro, Maryland 20774

Telephone: 301-658-6881   Fax: 301-658-6877