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Patient Information & Forms

Download the following forms and fill them out in advance of your visit.

Insurance Company Participation List

Advanced Pain Management (APM) has affiliation with all major Insurance Companies. Below is a detailed list of participating Insurance Companies.

  • Aetna (PPO, HMO, QPOS)
  • Blue Cross/Blue Shield (PPO, PPC, Traditional, Federal, State, Health Options, Blue Options, Advantage 65)
  • CCN/One Source/First Health (PPO,W/C)
  • Capp Care
  • Champus
  • Cigna (HMO, Open Access, PPO)
  • Florida Memorial Health Network (HMO,PPO)
  • Beech Street PPO
  • DBCC
  • Daytona Beach News Journal
  • Employees Health Benefits
  • ERAU
  • Florida Healthcare
  • Fl Hospital Waterman
  • Focus (WC)
  • Health Partnership Plan
  • Interplan Health Group
  • Lake County Board of Commissioners
  • Medicare
  • MetraComp Inc. (WC)
  • Multiplan Inc. (BCE Emergis)
  • National Provider Network
  • Private Healthcare Systems (PHCS)
  • Physicians Health Care Plan (PHP)
  • PPO Next (k/n/a Preferred Health Network)
  • ROMAC Lumber & Supply
  • Stylemark Inc.
  • Southcare
  • Tharp Plumbing Systems
  • Tricare
  • United Benefits
  • United Healthcare
  • Volusia Health Network

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