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Referral Form

Consult Indication (check all that apply)
Medical/Management Concerns (if any):

Please send images by email to

If you prefer you can download the referral form and email or mail it to us!

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Referrals - Insurances we take

Insurances We Take

 - Anthem Blue Cross Blue Shield of: CO, CT, KY, ME, MO, GA, IN, NV, NH, OH, VA, WI, NY

 - Blue Cross of CA

 - Blue Cross Blue Shield of TX, IL, NM, OK, MT

 - Careington insurance and Careington discount plans

 - Cigna (DPPO plans, not Advantage) (Not Cigna discount plans)

 - Humana

 - United Concordia including Advantage PLUS (NOT Concordia Advantage or Tricare)

 - United Healthcare (Patients are encouraged to CALL UHC to make sure Dr. John is in-network with their specific plan. Unfortunately the UHC website lists Dr. John as in-network for plans he is NOT in-network for).


*Dr. John does NOT participate with Blue Cross Blue Shield of Maryland, CareFirst

Patients need to confirm their plan with their insurance company prior to their appointment.

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