Patient Info & Forms


 

Patient Forms

NEW PATIENT FORM

 

HIPAA NOTICE OF PRIVACY PRACTICES

 

Medical Record Release Form

 

PRE Procedure Instructions

 

Discharge Instructions (Injections)

 

Discharge Instructions ( Spinal Cord Stimulator Trial)

 

Pain Diary (Injections & SCS Trial)

 


Insurances

We participate with the following insurance plans:

Private Medical Insurances:

•Aetna (HMO/PPO/POS/Aexcel & Aexcel Plus)
• Anthem 
•Beechstreet
•Cigna
•Cofinity
•Colorado Access
•Coventry First Health
•Humana 
•Multiplan
•PHCS
•Rocky Mountain Health Plans
•United Healthcare

Auto Injury Insurances:

•Injury Finance
•Marrick
•Medport 
•Merit Bridge 
•Personicare
•Wellstates Healthcare

Workers' Compensation Insurances:

•Pinnacol Select Net
•Gallagher Basset
•Hartford
•Liberty Mutual

•Employers
•Progressive
•State Farm
•Farmers

•Coventry
•Corvel- City and County of Denver
•City of Westminster
•City of Aurora

•ESIS
•CMI
•CCMSI
•FCC Services

Insurances Accepted

For any coverage-related questions, please contact our office.

Aetna
Anthem
Beech Street
Cigna
Cofinity
Colorado Access
First Health
Humana
Multiplan
PHCS
Rocky Mountain Health Plans
United Health Care
Location
Mile High Sports & Rehabilitation Medicine
2490 W. 26th Ave., Suite A-10
Denver, CO 80211
Phone: 303-331-6744
Fax: 303-331-6839
Office Hours

Get in touch

303-331-6744