Mon – Thurs… 8am – 5pm
Please download these forms, fill it out prior to your visit and bring it
with to your appointment.
Registration & Health Questionnaire (For New Patients)
MEDICARE Private Contract (Applies only to Medicare Patients)
Our office only accepts Tricare Standard. Even though we do not accept any other health insurance we can help you file on most plans including: United HealthCare, Blue Cross, Blue Anthem, Great West, Cigna, Humana, Kaiser, Aetna, Sloan’s Lake Principal, Assurant, Cofinity, and Tricare Prime. You, not the insurance company, are ultimately responsible to pay for services rendered. Sorry, but we are unable to file on Medicare or HMO’s.
We accept Visa, MasterCard, cash and checks. If you have specific questions regarding health insurance please call Lea Anne at (719) 597-6075 and she will be glad to help you.
We work for you, not the insurance company! We take great pride in providing excellent health care to our patients and believe in taking the time to listen and to form a special partnership with every one of our patients ‑ you are not just a number to us! It’s the only way your health concerns can be adequately addressed and treated. Come and talk with us.
Let’s discuss the care you need not just the care big insurance companies and the pharmaceutical industry wants you to have. We will not allow the insurance company to interfere with the medical decisions that affect you.
To get quotes and compare health insurance plans check:
www.healthinsurance.com | www.ehealthinsurance.com | www.insure.com
Pre-existing conditions? Check out:
Cover Colorado! | The Cover Me Foundation
Low Cost or Free Medical Treatment (PASS Care Coordinator 719-329-7103)
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Mission Medical Clinic (income verification needed) 2125 E La Salle St Call 719-219-3402
Ecumenical Social Ministries 201 N Weber St. Call 719-636-1916
Open Bible Medical Clinic 824 S Union Blvd call 475-0972