PATIENT FORMS:
In preparation for a patient’s first visit, we like to offer the opportunity for the patient to preview all of the information we’ll need to start the patient’s file. We ask that all patients come to their first visit with the following information prepared:

• NPP Acknowledgement & Patient Communication Consent Form
• Financial Policy Form
• Health Information & Record Release Authorization
• New Patient & Other Forms Overview
• Insurance information and insurance cards
• At least one (1) form of identification (drivers license, social security card, birth certificate, etc…)

POLICIES:
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PATIENT INFO:
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ACCEPTED INSURANCE:

• Aetna Choice POS II
• Aetna Managed Choice POS Open Access
• Aetna Signature Administrators PPO
• Anthem Preferred Blue Network – NH
• BCBS Blue Card PPO
• BCBS MA Blue Care Elect PPO
• BCBS MA HMO Blue with Managed Care Behavioral Health
• BCBS MA Preferred Blue PPO
• CIGNA HMO
• CIGNA LocalPlus
• CIGNA Open Access Plus
• CIGNA PPO
• Harvard Pilgrim ChoiceNet HMO
• Harvard Pilgrim HMO
• Harvard Pilgrim PPO
• Tufts Granite Advantage EPO, PPO and Saver
• Tufts Granite Premier Choice EPO and PPO
• Tufts PPO
• UHC Choice Plus POS
• UHC Navigate HMO
• UHC Navigate POS
• UHC Options PPO

BILLING INFO:
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