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PATIENT INFO

Document with Pen

New Patient Forms

Please fill out our new patients forms prior to your first visit and bring them to your appointment. You may also e-mail them to info@knowallergynw.com. Thank you!

KNOW ALLERGY NEW PATIENT PACKET

 

RELEASE OF RECORDS FORM

HIPAA PATIENT CONSENT FORM

Accepted Insurances

  • AARP

  • Aetna

  • Assurant Health

  • Blue Cross/Blue Shield

  • Claims Central

  • Cigna Healthcare

  • Columbia United Providers
    (PeaceHealth Employees Only)

  • Coventry

  • First Health

  • GEHA

  • Healthcare Resources N.W.

  • Health Net

  • Healthsmart

  • HMA

  • Humana (Medicare plans only)

  • Lifewise

  • Managed Healthcare Northwest

  • Medicare

  • Medicare Railroad

  • Moda Health

  • Multiplan

  • Pacific Care

  • Pacific Source

  • Pacificare of Oregon

  • Portland IPA

  • Providence Health Plans

  • Regence Blue Cross Of Oregon

  • Secure Horizons

  • Tri-West

  • Tricare For Life/W P S

  • Triwest Healthcare Alliance

  • UMR

  • Uniform Medical Plan

  • United Healthcare

  • Various other insurance plans

All co-payments are due at the time of service.

Payment Methods

 

We accept cash, check, flex cards, and Visa, MasterCard, American Express and Discover credit cards.

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