Washington County
Internal Medicine, PC

Washington County Internal Medicine, PCWashington County Internal Medicine, PCWashington County Internal Medicine, PC

Same-Day Appointments: (478) 552-0001

  • Home
  • Our Providers
  • Forms and Insurance
  • Preventive Medicine
  • HIPAA Privacy Policy
  • COVID-19 Vaccines
  • Sleep Medicine
  • More
    • Home
    • Our Providers
    • Forms and Insurance
    • Preventive Medicine
    • HIPAA Privacy Policy
    • COVID-19 Vaccines
    • Sleep Medicine

Same-Day Appointments: (478) 552-0001

Washington County
Internal Medicine, PC

Washington County Internal Medicine, PCWashington County Internal Medicine, PCWashington County Internal Medicine, PC
  • Home
  • Our Providers
  • Forms and Insurance
  • Preventive Medicine
  • HIPAA Privacy Policy
  • COVID-19 Vaccines
  • Sleep Medicine

medicare annual well visit forms to fill out

CMS Medicare AWV and IPPE - Please Fill Out First 4 Pages (pdf)

Download

New Patient Forms

Health History Form (pdf)Download
Assignment of Benefits Form (pdf)Download
HIPAA Acknowledgement Form (pdf)Download
New Patient Information Form (pdf)Download

insurance plans and products we accept

Medicare

We do accept new Medicare patients

BCBS

All Plans

CIGNA

All Plans

United Healthcare

All Plans

Aetna

All Plans

Humana

All Plans

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