New Patient Information

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We are currently accepting new patients for Dr. Munoz ONLY.
Dr. Cawley’s panel is currently full.

Note that Dr. Cawley and Dr. Munoz practice traditional medicine and not alternative medicine.  If you are looking for herbal or other alternative treatments, there are other practitioners that offer those services.

INSURANCE INFORMATION:

We are now accepting new patients for Dr. Munoz for all of the insurances below:

  • Aetna
  • BCBS – PPO
  • Cigna
  • Humana – PPO/POS
  • Medicare
  • Oscar PPO
  • Tricare
  • United Health Care (UHC)

We are sorry, but we cannot currently accept patients from other insurances.  All other insurances currently pay us below to slightly above what Medicare pays.  We are entering negotiations with other insurance providers and will open our panel to them as we sign new agreements.  

FORMS:

If you are a new patient, please download, print and fill out the “New Patient Forms”:

Sage-Form-Packet

(Right Click, and select “save link as” to download and save to your computer.)

In addition to the forms above, please fill out the online form below and one of our staff will call you to schedule your first appointment:

Please be aware that the first appointment is a new patient visit.  Either Dr. Cawley or Dr. Munoz will enter your medical history into our records, perform an assessment, and order necessary tests.  The first visit will not be considered a physical (a preventative appointment) for insurance purposes.

We are currently accepting new patients for Dr. Munoz ONLY.
Dr. Cawley’s panel is currently full.

Intake Form:

Name: *
Birthday: *
Address: *
Social Security Number: *
E-mail:
Referred By:

Primary Insurance: *

If you do not have a "Group ID", please enter 0000 in the "Group ID" field.
If there is no insurance phone number available please enter 000-000-0000 
in the phone number field.

Member ID: *
Group ID: *
Group / Employer Name:
Claims Address:
Provider/Benefit Phone Number: *
-

Subscriber same as patient? *

If no, please fill out below:

Subscriber Name:
Subscriber SSN:
Subscriber Birthday:
 /  / 

Do You have Secondary Insurance? *

If Yes, please fill out below:

Secondary Insurance
Secondary Member ID:
Secondary Group ID:
Secondary Claims Address:
Secondary Claims Phone:
-

What is the best time during office hours for us to call you to schedule an appointment?

Best Contact Phone: *
-
. *
Secondary Contact Phone: *
-
.. *