Sleep Needs Of Round Rock
Sleep Medicine Practice for Dan R Baker, MD
Phone: 512-496-0394
Fax: 512-843-4480
***THIS IS A NEW FAX NUMBER
- AETNA
- BLUE CROSS/BLUE SHIELD
- CIGNA
- HUMANA
- UNITED HEALTHCARE
- MEDICARE
Insurance
For specific information about your insurance plan, please call your insurance provider. If you have billing questions call our billing department.
If you do not see your insurance provider listed below, please call for full list of insurance providers we accept. If you are not covered by one of these providers we will ask you to pay for your services at the time of service but will be happy to help you file with your insurance.
Demographic forms and Policy Sheets
CONFIDENTIALITY FORMS
Form for release of information,
Forms
Print and complete these forms to speed up your visit.
MEDICAL RECORDS REQUEST FORM
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- First Health
- Great West
- PHCS
ADULT HEALTH HISTORY FORM
Ages 16 and Up
NEW PATIENT PACKET
(CLICK HERE)
(CLICK HERE)
(CLICK HERE)
(CLICK HERE)
