New Patient Forms

Want to save time?

Click the links below to download the ABILITY Prosthetics and Orthotics new patient forms.

HIPAA Forms
Patient Service Agreement

Patient Information Sheet

Insurance Information

orthotics-Prosthetics-InsuranceABILITY Prosthetics and Orthotics happily takes the insurance companies listed below. We do highly recommend you contact your insurance company to confirm your coverage and co pays, deductibles and out of pocket costs.

• AMERIGROUP

• CDS

• HEALTH PLAN OF NEVADA (HPN)

• MEDICARE

• MEDICAID

• HOMETOWN HEALTH PLANS

• SENIOR CARE PLUS

• NEVADA PREFERRED PLANS

• PHCN NETWORK

• PROMINENCE HEALTH PLAN (formerly SAINT MARY’S HEALTH PLANS)

• SENIOR DIMENSIONS

• SIERRA HEALTH & LIFE

• UNIVERSAL HEALTH NETWORK

ABILITY Prosthetics and Orthotics is happy to announce we now take this additional insurance provider for our Mastectomy patients.

• CIGNA

 

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