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PATIENT RESOURCES

PATIENT FORMS

FORMULARIO DE PACIENTE NUEVO

Imprima y complete este formulario si es un paciente nuevo

MINOR CONSENT FORM

Print and fill out this form if your child will be seen.

FORMULARIO DE PACIENTE NUEVO

Imprima y complete este formulario si es un paciente nuevo

NUTRITION INTAKE FORM

Print and fill out this form if you are a new patient.

FORMULARIO DE PACIENTE NUEVO

MEDICARE ABN FORM

FORMULARIO DE PACIENTE NUEVO

Imprima y complete este formulario si es un paciente nuevo

HIPPA PRIVACY POLICY

You HIPPA Privacy Rules regarding how your medical records and personal information are protected.

FORMULARIO DE PACIENTE NUEVO

Imprima y complete este formulario si es un paciente nuevo

FULLSCRIPT

AM Nutrition Services' Patients get a discount on Fullscript!

FORMULARIO DE PACIENTE NUEVO

Imprima y complete este formulario si es un paciente nuevo

WELCOME VIDEOS

AM Nutrition Services' Patients get a discount on Fullscript!

INSURANCE

Contracted provider with the following insurance carriers:

  • Aetna

  • AmBetter by HealthNet

  • Arizona Care Network/Bright Health/Medica

  • Arizona Complete Health/HN AHCCCS

  • Arizona Priority Care 

  • Banner

  • Blue Cross Blue Shield and Advantage

  • Care 1st/One Care/Wellcare

  • Cigna

  • CMDP/DCS-CHP

  • Health Choice/Steward Health

  • HealthNet

  • Humana

  • ICP Preferred Service Provider/Par80

  • Magellan Complete Care

  • Medicare

  • Mercy Care Plans

  • Merritain, Ameriben, Gilsbar

  • Optum/Lifeprint

  • Oscar Health

  • UHC Community Plan (UHCCP)/Dual

  • United Health Care, UMR

  • Devoted Health

​

Accepts ALL out-of-network insurances with prior authorization including, but not limited to:

  • Bridgeway

  • SCAN

NEVADA

Contracted provider with the following insurance carriers:

  • Aetna

  • AmBetter

  • Anthem Blue Cross Blue Shield Nevada

  • Anthem Medicaid

  • Cigna

  • Culinary

  • Health Plan of Nevada/SHL only

  • Humana

  • Medicare Nevada

  • Molina Health Care

  • Nevada Medicaid

  • Prominence Health Plan

  • Sierra Health and Life

  • SilverSummit Healthplan

  • Teachers Health Trust Nevada/UMR

  • UMR

  • United Healthcare

PATIENT EDUCATION

SERVICES

An evidence-based medical approach to treating certain chronic conditions through the use of an individualized tailored nutrition plan administered by Registered Dietitians.

A plan developed to fit your daily routine based on your medical and nutritional needs.

We partner with your referring physician to provide the best care to help you live a better nutritional life.

We partner up with you to address your personal challenges and struggles to reach your nutritional goals.

We encourage sustainable, healthy and realistic behavioral changes that that supports a lasting change on your health. We educate, guide, and support you as you take baby steps in your journey to improving your health.

We partner with you to help to sustain eating disorder recovery by determining the level of care needed by the patient, solidifying behaviors learned in the inpatient setting, and providing support in a less structured environment using intuitive eating and HAES approach to weight restoration and treatment of eating disorders.

Your daily routine can affect your blood sugar levels to rise and/or fall. We work with you to develop a personalized food plan that takes into account your eating preferences, schedule, and nutrition requirements to better equip you in managing blood sugar levels.

Want to learn more or can't find what you're looking for? Please contact us for more information.

BARIATRIC SUPPORT

FORMULARIO DE PACIENTE NUEVO

Imprima y complete este formulario si es un paciente nuevo

BARIATRIC EDUCATION GROUP INFORMATION

Our bariatric education group meets every second tueday of the month.

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