New Patient Forms

If you are interested in becoming a patient please complete and return the attached forms and one of our staff with contact you to set up your first appointment.

Our Financial Policy – Frequently asked questions regarding payment terms and forms of payment.

Notice of Privacy Practices – How we protect your identity and information.

Record Request (Incoming) – Use this to request records from another office to send to Family Medicine at Greenhill.

Our office is no longer taking new patients who are self pay only. 
Insurances we accept for New Patients
Cigna Health Springs
Highmark HealthOptions
Highmark Medicare Advantage
Humana Medicare Advantage
Medicaid of Delaware
Railroad Medicare
United Dual
UnitedHealthCare Medicare Advantage

Insurances we may/may not accept depending on the coverage for New Patients

Aetna Commercial
Highmark Commercial
Humana Commercial
United HealthCare Commercial


Insurances we DO NOT ACCEPT for New Patients
Administrator Concepts
Aetna Medicare Advantage
AmerHealth NJ
Anthem BCBS
Chesterfield Resources
Federal BC
Independence Administrators
Independence Blue Cross
Keystone Health Plan
Liberty Health Share
Medicshare Christian
Meritain Health
Out of State BC