Forms & Insurance for New Patients

Insurance List

(subject to change)
  • AARP
  • Aetna 
  • Averde
  • BeechStreet
  • BC/BS 
  • Benesight
  • Cigna
  • Firstcare
  • GEHA
  • Galaxy
  • HealthFirst TPA
  • Health Payors Organization
  • Interplan Health Group/Accountable
  • USA Managed Care
  • ECCO
  • Humana
  • Independent Medical System
  • Sterling
  • Medicare
  • Multiplan
  • PHCS
  • Physician’s Health Choice
  • Principle
  • Sterling
  • Texas True Choice
  • Thrivent
  • Pacific Railroad 
  • Tricare
  • Moda
  • ODS
  • United Healthcare
  • Pacificare
  • CareCredit
  • Private pay plans also available
 
If you plan is not listed feel free to call us and we can check coverage.
Forms
 
The forms below are available for download in PDF format.
 
If you have any questions about these forms, please contact our office.
 
Please print and email these forms to nforegonsleepcenter@gmail.com 
 
You may also call 541-667-4104
to set up an appointment.

 

Patient Registration Form

 

 

Forms for Healthcare Providers

Patient Referral Form

 

 FAQ 

VISIT US

 

1050 W Elm Ave #210

Hermiston, OR 97838

Call and or contact us here for a  consultation today!

541-667-4104

CALL

 

Tel:  541-667-4104

Fax: 541-667-4175

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@2015 Oregon Sleep Center