New Patients

New Patients At Lake Ray Hubbard Pediatrics we strive to make your first visit as easy and stress free as possible. We know that establishing a new doctor/patient relationship can be hard and sometimes frustrating. To make things easier, you may print all required new patient forms from the links below.Please arrive at our office 30 minutes prior to your scheduled appointment and bring all of your completed new patient forms. Please remember to also bring your driver’s license, current health insurance card, and your child’s vaccine record. Please check our list of accepted insurance carriers. If for some reason your insurance carrier is not listed, please call our office at 972-412-3034 to check our participation with your plan. Being prepared will make your first visit easy and carefree.

New Patient Forms

Please download and complete the appropriate forms for the office location in your area. These are provided in Adobe PDF format for your convenience.

Rockwall-Heath Office Forms Forney Office Forms


ADD / ADHD Assessment Forms


Insurance Providers Accepted

  • Aetna
  • BCBS–PPO and HMO
  • Cigna
  •  Humana
  • United Healthcare
  • Private Healthcare Systems (PHCS)
  • Multiplan
  • Tricare Standard
  • Employers Direct Health
  • GEHA
  • Golden Rule
  • Great West Health-Cigna
  • Healthsmart
  • Mega Life and Health
  • Oxford Health
  • PPO Next
  • Principal Mutual
  • Texas True Choice
  • Texas Municipal League (TML)
  • United Medical Resources
  • First Health
  • Strategic Resource Company (SRC)
  • Beech Street
  • Cooperative Benefit Administrators
  • Galaxy Health Network
  • Great West
  • North Texas Healthcare Network
  • National Association of Letter Carriers (NALC)
  • Coventry Healthcare