PATIENT FORMS

If you are a new patient or haven't been seen within this past year, or if you have a new injury, you will need to bring us BOTH admissions and registration forms to your first appointment.

When arriving for your appointment, please be sure you bring:

• Photo ID (i.e. driver’s license)
• Your current insurance card(s)
• Your co-pay as indicated in your insurance contract (make the word copay clickable and we will have an explanation bump out)
• Referral from your Primary Care Physician, if applicable
• Appropriate form of payment for those patients with no insurance

Please PRINT and COMPLETE, and BRING with you each of forms listed below:

Be sure to note that the forms must be printed and brought with you to your appointment as they are not automatically submitted to our office.

What Insurances Do We Accept?

We accept all insurances and participate with the majority of major health care plans. Below is a list of the most common health care programs in which COS participates.

If you do not see your health plan listed below, please call our office at 203.407.3560 to confirm that your plan is accepted.

• Aetna
• Anthem Blue Shield
• Cigna
• Connecticare
• First Health
• Great West
• Guardian
• Healthcare Value Management
• Health Management Center
• Medicare
• Medicare Advantage
• Oxford/United Healthcare
• Railroad Medicare
• Worker's Compensation
• Yale HEALTH
• Commercial Carriers

Please note that the list of participating insurance providers is subject to change.