Patient Information

Forms and Insurance

Medical Forms

To save time while at our office, we recommend that you download these forms, fill them out, and bring them to the appointment. Please also bring your insurance card(s) and specialist co-payment.


We accept most insurance plans, including those listed here.  Insurance will cover most procedures we offer.  If there is a question about coverage, our staff will help determine if your insurance will approve the expenses.  If your insurance does not cover a procedure, payment options can be arranged to meet your individual needs.

  • Aetna
  • Beech Street
  • Blue Cross Blue Shield
  • BridgeSpan Health
  • Cigna
  • Coventry Health Care
  • DMBA
  • EMI Health
  • First Health
  • Great-West Healthcare
  • Health Choice Utah
  • Health Utah Physicians Network
  • Humana
  • Liberty HealthShare
  • Medicaid
  • Medicare
  • Molina
  • MultiPlan
  • PEHP
  • Samera Health
  • SelectHealth
  • Steward Health Care Network
  • Tricare
  • TriWest
  • United Healthcare
  • University of Utah Health Plans
  • Wise Provider Networks

Make an Appointment

Call 801-357-7499, send us a text, or submit the form below. Once your appointment made, there will be a $50 fee for missed appointments that are not rescheduled the day prior to the appointment.