For Patients

Patient Forms


English:
New patients need to fill all 3 forms out.

Spanish:
Los pacientes nuevos deben completar los tres formularios.

Office Hours

Monday-Thursday 9-4 lunch 12-1 Friday 9-12

Dr. Harman does surgery cases Wednesday and Friday mornings.

Accepting New Patients

To avoid a NO SHOW or Cancelation fee you must call the office (817)774-2123  to cancel or reschedule appointments at least 24 hrs in advance .

ALL PATIENTS ON TESTOSTERONE OR ANY CONTROLLED SUBSTANCE MUST BE SEEN IN OFFICE EVERY 6 MONTHS.

Insurance Information

Insurances: Blue Cross Blue Shield, UHC, Cigna, Aetna, Multiplan, First Health, Humana & Tricare

Please call the office at (817) 774-2123 for a complete comprehensive list of accepted insurances.

Referral Required from Primary Care Physician (PCP) on all HMO insurance policies.

NO Medicare, NO Medicaid, NO Medicare Supplemental, NO Medicaid Supplemental Insurance Plans Accepted

Self-Pay patient discounts are available for those without insurance.

Surgery Information

We require at least a 10-Business Day notice be given verbally or in writing to cancel or reschedule surgery to avoid a surgery cancellation/reschedule fee of $250.00

Surgery Locations:

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