Patient Forms, Map and Directions to Kerrville Office
If you're planning your first visit to Medical Surgical Specialists of Kerrville we look forward to meeting you. To help prepare you, you'll find all the information you need about our practice on this page, including:
- Directions and maps
- Mission Statement
- New Patient Form (complete this prior to scheduling your appointment)
Our practice is working together to realize a shared vision of uncompromising excellence in gastroenterology.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, peers and community.
- Exceed your expectations.
- Ensure a compassionate, professional environment.
- Strive for continuous improvement at all levels.
Please fill out these forms and return them filled out completely before scheduling your appointment. You may do the forms by hand by printing the forms and bring them to the office, mail, e-mail, or fax them to us. Be sure to call the office once your forms have been turned in if you don't already have an appointment.
- Patient Information Form [PDF]
- If you've seen another gastroenterologist or any other doctors that have applicable information regarding previous care please complete the Release of Medical Records and send it to our office. [PDF]
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
Insurance and Billing
Please contact our office to verify acceptance of your insurance plan. Qualifications for insurance coverage may differ due to the uniqueness of each procedure.
Accepted insurance carriers are: Aetna, Aflac, Alaska Teamster, Allstate, Allamerican Financial, American Pioneer, AmeriGroup, Anthem Blue Cross, APWU, Bandera County Indigent, Banker's Life & Casualty, Beech Street, Benefit Planners, Blue Cross Blue Shield, Boon Chapman, Care Improvement, Champ VA, Chips, Cigna, Colonial Penn, Combined, Connecticut General, Conseco, Continental General, Cooperative Benefit, Dallas General, Employee Benefit Srv, Entrust, Ethix, Farm Bureau, First Health, Fortis, GEHA, General American, Gilsbar, Golden Rule, Group Pension, Hartford, Healthnet, Humana, John Alden, Kerr Co. Indigent, Liberty Health, Mailhandlers, Medicare Part B, Medicaid, Mega Life, Montumental Life, Multiplan, Mutual of Omaha, NTCA, New Era, NRECA, Old Surety Life, Pacific Life, Physicians Mutual, Pioneer Life, Principal Financial, Provident, Prudential, Pyramid, Reserve National, PR Medicare Secure Horizon, Superior Health, SPJST, Standard Life, Starbridge, State Farm, Sterling, Texas Municipal Legue, Time Ins, Tricare, True Choice, Trustmark, Unicare, United American, United Healthcare, USAA, WEBTPA, World Ins. We accept HMO providers with referral from your primary care provider and authorization from your insurance in advance. The patient is responsible for ensuring referrals are obtained.