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
Cigna Local Plus
Three Rivers Insurance
Sierra Health and Life
BCBS Neighborhood

BCBS Maricopa Focus

BCBS Pima Focus

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 and Aetna plans through the Marketplace.