1. Log on to patient portal and an itemized receipt will be listed under the “Invoices and Payments” icon.
  2. If you do not see a itemized receipt, please request a copy through the patient portal via the “Secure Messages” icon.
  3. Click the applicable insurance link below to print off your insurance claim form below.


Blue Cross/Blue Shield
Pacific Source
Mountain Health Co-op
*Medicare and Medicaid are not reimbursable.