Please feel free to download and fill out the intake form from the comfort of your own home!
Client Intake Form
Download the client intake form so that you can fill it out in the comfort of your home. There are four pages total.
We are currently contracted with the following insurance providers:
Aetna HMO
City of Sparks NHP
Group Administrators
Mutual of Omaha
St. Mary's Health First HMO
Aetna PPO
CNIC Health Solution CN
Hartford Insurance
Park Place Claims
St. Mary's Health First PPO
Aftra
CNIC Health Solution IC
Health Choice
Pinnacle Health Claims Mgmt
State of Nevada
Albertsons Inc
Core Source
Health Cost Solutions
Plumbers & Pipefitters Union
State of Nevada Employees Plan
Alterra Healthcare (ANTHEM)
Definity Health Claims
Health First
Plumbers & Pipefitters Union L 123
Strategic Resource Co.
Banner Health Plus
Delta Health Systems
HHP-PPO State Self Funded
Plumbers & Pipefitters Union L 295
United American
Benefit Planners
First Choice Health Network
John Alden
Principle Life
United Health Care
Benicorp (Blue Cross Blue Shield)
Fortis Insurance
Mail Handlers
Secure Horizons
Universal Health Network
Capitol Administrators
GEHA Ins
Medicaid; Nevada Care Kids
Southwest Administrators
Washoe County NHP
CDS St. Mary’s
Great West
Medicare B
St Mary's Preferred Health Ins