Inside Pediatrics Office

Patient Forms

Download Patient Forms

Before your appointment with us, quickly and conveniently access patient forms from our practice.
To view the forms listed below, you will need Adobe Reader. You may download Adobe Reader for free at Please bring your completed forms with you to our office at the time of your visit.

Insurance & Billing

It’s important to ensure that your healthcare provider is in-network with your insurance company before seeking medical care. This can prevent unexpected out-of-pocket expenses and ensure that insurance benefits are utilized to the fullest extent. Additionally, your insurance plan requires you to have a Primary Care Provider (PCP), it’s essential to confirm that the healthcare provider is listed as the PCP to avoid any confusion or billing issues. Patients should always check with their insurance company and confirm that your healthcare provider is in-network and listed as the PCP if necessary.

Insurance We Accept:

  • Aetna PPO plans
  • BCBS (State & Federal plans)
  • Medicaid
  • Healthy Blue
  • WellCare
  • Humana Military (Tricare)
  • Cigna
  • PPO
  • MedCost
  • Amerihealth
  • Carolina Complete
  • United Health Care Community Care

Download Office Policies