PATIENT FORMS

Sandia Rheumatology currently participates with insurance providers listed here. For more information about your insurance you can visit their official sites below. We also invite you to download and print your new patient forms to fill out at your convenience before you visit. 

Insurance Providers

Sandia Rheumatology currently works with the following insurance companies.

Blue Cross Blue Shield

Cigna

Medicare

Presbyterian

United Health Care

Patient Forms

New Patient Packet

NEW-PATIENT-PACKAGE.pdf

Patient Information Form

Patient-information-form.pdf

Office Policies

Office-Policies.pdf

Multiple Authorization Form

MULTIPLE-AUTHORIZATION-FORM.pdf

Records Request Form

RECORDS-REQUEST-FORM.pdf

Authorization to Release Medical Records

AUTHORIZATION-TO-RELEASE-MEDICAL-RECORDS.pdf

Notice of Privacy Policy

Notice-of-Privacy-Practice-Sandia.pdf

Acknowledement Receipt of Privacy Policy

Acknowledgment-Receipt-of-Notice-of-Privacy-Practices.pdf