We are looking forward to seeing you for your first visit

with Dr. Komatineni!

Please bring the following with you:

• Insurance cards and identification, as well as prescription cards

• Full written list of prescribed medications and any over the counter vitamins or supplements you may be taking

• Copies of relevant medical records, imaging, or test results (These can also be faxed directly from your referring provider to us at 719-493-9936)

New Patient Forms

Symptom Check Form

Records Release Form

New Patient documents can be downloaded here:

ACCEPTED INSURANCE PLANS

Please contact our office for any plan not listed below:

Aetna

HMO and Commercial Plans

Medicare

Medical Rental

Anthem

Indemnity

PPO, WellChoice

Blue Priority PPO and HMO

BC Federal Employee Program

HMO

Pathway HMO/PPO/EPO

Medicare Advantage PPO

Cigna

Clear Spring Healthcare

Cofinity

Colorado Health Neighborhood (Centura Health)

Centura Value Plan

BEST Health

Roundstone

Friday Health

Humana

Kaiser Permanente

Kaiser Select

Kaiser Medicare

Medicare

Medicaid*

RR Medicare

Tricare – Western Region

UHC

UCHPA (UC Health Plan Administrators)

VA-CCP administered by Triwest

* Please contact billing including ones not listed here

HIPAA Form

Accepted Insurance Plans