Please be sure to enter your medical history via our portal or arrive 30 minutes prior to your appointment time in order to fill out in the office. We ask that you bring your insurance card and photo ID to each appointment.

All copay's will be collected at the time of service.

If you prefer, forms and documents may be downloaded below. Please have them filled out prior to your appointment. 

MEDICAL HISTORY FORM

MEDICAL RELEASE FORM

Current insurance plans we are NOT contracted with- list is subject to change at any time ( please contact our office at billing@nswhobgyn.com if you have any questions)

SCAN

Aetna Leap Network

Aetna Prime Network

ALL Healthnet

Mercy Care

Maricopa Mercy Care

AZ Complete Health

Molina

Banner University AHCCCS

University Family AHCCCS

United Healthcare Choice Advanced

United Healthcare Compass

United Healthcare Navigate

United Heritage Gold Plus

United Healthcare One

Cigna Flex Select

Cigna Connect Flex

Three Rivers Insurance

Sierra Health and Life

BCBS Neighborhood

BCBS Medicare Advantage

BCBS Maricopa Focus

BCBS Pima Focus

BCBS Prosano

BCBS Prosano Focus

BCBS Blue Signature Prosano

BCBS Focus Network

PHCS

Multiplan

United Healthcare Medicare Plans (Optum, Lifeprint, Phoenix Network)

Aetna Arizona Care Network

AmBetter

NO Christian Ministry Health Plans

*if you are using a Marketplace plan, be advised we are ONLY contracted with Oscar through the Marketplace.