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Patient Forms //

Patient Survey //

Dear Patient:


Providing quality care and meeting the needs of our patients is very important to our office. We want to be certain that we are providing you with first class care along with special and personal attention.
To accomplish this, we need your input. Your concerns and suggestions are important to us.

In order to continue our high quality of care and to better serve you, we are asking you to take a few minutes to complete our Patient Experience survey. We encourage you to be open and honest in your assessment.
As is all of our doctor/patient information, your responses are confidential.

We strive to deliver high quality care and make your experience in our practice the very best. We welcome your feedback to help us achieve this goal.


Sincerely,

Charles Garcia M.D., P.A.

Most Insurance Plans Accepted 
 
Note to Patients
Not all providers of care are registered under all plans accepted.
Certain insurances may also require special paperwork or a referral specific to your visit.  Such authorizations or referrals will be the responsibility of the patient.  If you have questions regarding your need for a referral please contact your primary care physician or insurance provider.

ACCOUNTABLE PPOADMAR CORP. PPO

AETNA MANAGED CHOICE POS

AETNA OPEN CHOICE PPO

AETNA SELECT CHOICE HMO

AETNA TRS CARE PPO

AFFILIATED PPO

ALLIANCE/USC PPO

AMERIGROUP

AMERIHEALTH

AMERIVANTAGE

ANTHEM

AVESIS

BCBS-BLUE CHOICE PPO

BCBS-FED OR HEALTH SELECT

BCBS-HMO BLUE

BCBS-PAR PLAN CM

BCE EMERGIS (former PROAMERICA ADMAR)

BEECH STREET PPO/EPO

BLOCKVISION

BLUE MEDICARE PPO

BRAVO HEALTH PLAN

CAPP CARE PPO

CARING PHYSICIAN NETWORK PPO

CCN (COMMUNITY CARE NETWORK PPO

CHRISTUS GULF COAST ASSOC. PPO

CIGNA HMO, FLEX, COMMERCIAL

CIGNA OPEN ACCESS & OPEN ACCESS PLUS

CIGNA PPO

CIGNA SELECT POS

CMS CAP MANAGEMENT

COLUMBIA EAST HOUSTON PHO

COMMUNITY HEALTH CHOICE HMO

COORDINATED VISION CARE CVC

CORCARE (CORVEL) CORPORATION

COVENTRY HEALTH CARE

DAVIS VISION

DIRECT CARE AMERICA PPO

ELDER HEALTHERICKSON ADVANTAGE

EVERCARE S&P AND CHOICE

EVOLUTIONS HEALTHCARE SYSTEMS

EYEMED

FIRST HEALTH (COVENTRY HEALTH CARE)

FOCUS

FREEDOM OF CHOICE PPO

GALAXY HEALTH NETWORK

GREAT-WEST HEALTHCARE

HAS PREMIER PPO

HEALTHSMART PPO

HERITAGE IPAHMINETHOUSTON METROPOLITAN HEALTH NETWORK HUMANA CHOICE CARE

HUMANA HMO

HUMANA MILITARY

HEALTHCARE SERVICE

HUMANA PPO

INTEGRANET IPA INTEGRATED HEALTH PLAN

PPC

PO JOHN HANCOCK 

PPO MANAGED HEALTH CARE

PPO MED CONTROL/HHPO,

PPO NEXTMED CORP. SX PPO MEDICARE MEDICARE RRMEDVIEWMEMORIAL HERMANN HEALTH NET IPA

METHODIST CARE PPO/HHPO
METHODIST CARE/UNICARE HMO
MOLINA HEALTH CARE
MSRB, LIMITED
MULTIPLAN PPO
NATIONAL HEALTHCARE ALLIANCE PPO
ONE HEALTH PLAN HMO
ONE HEALTH PLAN OPEN ACCESS
ONE HEALTH PLAN POS
ONE HEALTH PLAN PPO
OPTICARE (vision plan)
PACIFICARE HMO
PACIFICARE PPO
PPO NEXT (FORMERLY HHPO)
PREFERRED HEALTH NET PPO
PRIME HEALTH SERVICES
PRIVATE HEALTHCARE SYSTEMS POS/EPO
PRIVATE HEALTHCARE SYSTEMS PPO
PRO-AMERICA PPO
PRO-NET PPO
PRUDENTIAL HMO/PRUCARE
PRUDENTIAL PPO OR POS
RENAISSANCE IPA
ROCKPOSRT HEALTHCARE GROUP
SPECTERA (vision plan)
STERLING LIFE
SUPERIOR VISION (vision plan)
TEXAN PLUS
TEXAS TRUE CHOICE
TMHP/MEDICAID
TRICARE (HUMANA)
TRS COORDINATED CARE
TX CHILDRENS HEALTH PLAN HMO
TX MUNICIPAL LEAGUE (TML) PPO
TX WORKERS COMP. COMISSION (TWCC)
UNICARE CLASSIC
UNICARE PERFORMANCE
UNICARE PPO
UNITED HEALTHCARE CHIP

(formerly UTMB CHIP)
UNITED HEALTHCARE CHOICE HMO
UNITED HEALTHCARE HMO
UNITED HEALTHCARE OF TX (THRU
OPTICARE)
UNITED HEALTHCARE PPO
USA HEALTHNET
USC HEALTH SERVICES PPO
USFHP HMO
UTMB HEALTHCARE SYSTEMS
VHA EPO/PPO
VSP (Vision plan)
WELLCARE HEALTH PLANS
WORK LINK
XL HEALTH

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