Patient Resources
Below are some useful downloads and links. To view and print the forms you need to have Adobe Acrobat or Adobe Acrobat Reader installed on your computer. If you do not already have one of these, you can download Acrobat Reader for free by clicking the button below.
Forms
Medical Records Release - Another provider to send to ANC
Medical Records Release - ANC to send to another provider
Patient/Demographic Information
HIPAA Patient Authorization
to Talk to Relatives
Links
American Brain Tumor Association
Tips
Insurance Providers
We contract with the following insurance providers. We will bill other insurance plans on your behalf, but want you to know there may be additional charges you are responsible for when using an out of network provider.
- Blue Cross/Blue Shield - Tri Care (Champus)
- Blue Cross/Blue Shield of Kansas - Medicaid
- Blue Cross/Blue Shield of Kansas - Medicare
- Blue Cross/Blue Shield of Kansas, Inc.
- BCBS Premier Blue
- CIGNA HealthCare of Kansas/Missouri
- Coventry Health Care
- First Health
- Health Partners of Kansas
- Preferred Health Systems/ PHC
- Railroad Medicare
- Wichita Preferred Provider Association (WPPA)
- United Healthcare
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