Patient Information
Clinical Research
Patient Information
 

Patient Information/Insurance

New patients: Please download the following .pdf file and fax or mail it to us prior to your appointment. It will help us prepare for your 1st visit and shorten your time spent in our office.

New Patient Registration Packet

Dilated Retinal Eye Exam form - For Diabetic Patients Only

We take most major insurance plans except Medicaid, Kaiser, Coventry One, UHC Navigate, UHC Core Definity HSA, WellCare, AARP MedicareComplete & BCBSHP SilverPathwayX Guided Access HMO. We accept:

Aetna HMO
Aetna POS
Aetna PPO
BCBS HMO
BCBS POS
BCBS PPO

BCBS Pathways
Beech Street PPO
Champus/Tricare
Cigna HMO
CIGNA POS
Cigna PPO
Community Care Network PPO
CorVel Coporation PPO
Coventry
Evolutions Healthcare
First Health

If your insurance is not listed above, please call your insurance carrier to see if we are in network with them. Thank you.

Galaxy Health Network
Great West
Humana
Managed Care Strategies PPO
Medicare
Multi Plan
NovaNet Inc
OneHealth Plan
Oxford
PHCS
Preferred Plan
Pro-Net
Prudential
Railroad Medicare
UniCare
United Health Care

If you require a form to be filled out, please allow up to 5 business days for the provider to complete it.  A $20 form fee may apply.


Office Hours Herman Clinical Research Johns Creek Health Care Association