New Patient Information

Save Time During Your First Doctor Visit

Welcome new patients! In order to serve you better and faster we have a new patient information form and medical release form online. You can download, print and fill out the forms before you come for your visit.

Instructions:

Click on the links to access the New Patient Form. After you click the link, a browser window will open. When it opens, click on the ‘PRINT’ icon on your browser. Once you’ve printed the form, fill out the sections and bring the pages with you to our office. Completing the New Patient Information Form will save you time during your initial visit.

*Printing forms is easy, but you must have Adobe Acrobat Reader to view the forms. Download Adobe Acrobat Reader Free.

You don’t need to sign the Privacy Notice. It is for informational purposes only. Under the law, doctors have a legal obligation to provide patients with privacy notices, which inform them about their privacy rights as patients.

Insurance Plans

The listing for our enrollment in HMO/PPO plans includes the following:

Accountable
Aetna U.S. Healthcare
Affordable
Allicare Health
AmCare
AHP (America’s Health Plan)
American Medical Security
ASMED Health Partnership

BC BS
Beech Street
Blue Choice

Capp Care
CCN (Community Care Network)
Centra Health Care
CIGNA
CNA
Core Source PCN

First Health
Footloose
Foundation Health/Tricare

Galaxy
GEHA

Health Choice
Health Texas Network
Healthcare Network
Heritage S.W.
HMO Blue/Nylcare

IHP (Integrated Health Plan)

John Alden

Medical Control
Medicare
MetraComp

NAPP
NetOne
NTHN (North Texas Health Network)
NYLCare

Oklahoma State & Education
One Health Plan

Pacific Care
PCA Health Plans
PHCS (Private Healthcare System)
Primary Care Network
Principal Health
Principal Mutual
Pro Net
Prudential

THAN (The Health Advantage Network)
TML (Texas Municipal League)
TRS (Teachers Retirement System)

Unicare
United Healthcare
USAble
USA Health Network

WNJ – CABA
WNJ – PHO

Contact Us

903-893-9661

Arrange a visit with Dr. Sciortino and find out how we can help. Please call us to set up an appointment.