INSURANCES & FORMS

Insurances 

To find out if we are a participating provider with your health plan for diagnostic testing, please refer to our list of accepted insurance companies.  

**CDPHP 

**MEDICARE 

**MVP 

**AETNA 

**BLUE SHIELD OF NENY 

**NEW YORK STATE EMPIRE (NYSHIP) 

**BLUE SHIELD OF WESTERN NY 

**CIGNA WITH MVP LOGO

***We do not accept Medicaid, Fidelis, United Healthcare, Wellcare, Worker's Comp, No Fault, GHI, Evercare or Tricare

Forms

If you would like to save time at your appointment, please print out the appropriate forms, fill them out, and bring them to your first appointment. 

 New Patient Forms (Ages 12 and up)
NP HEARING INVENTORY - ALL OFFICES.PDF NP MEDICAL HISTORY - ALL OFFICES.PDF
 VNG Forms

If you are scheduled to have a VNG test done, please follow the VNG instruction sheet starting 48 hours before your appointment:
VNG INSTRUCTIONS1.PDF
In addition, please open, print and complete the following history form to bring with you to your appointment:
VNG CASE HISTORY.PDF
Share by: