What type of care are you scheduling for?

  • [[{"field_id":19633,"subrules":{"field_id":19637,"value":"Pediatric Care","operator":"Match"}}]]

Have you previously received care at Generations Pediatrics and Internal Medicine?

  • [[{"field_id":19634,"subrules":{"field_id":19633,"value":"New Patient","operator":"Match"}}],[{"field_id":20880,"subrules":{"field_id":19633,"value":"Returning Patient","operator":"Match"}}]]

Are you insured by any of the following insurance plans?

  • [[{"field_id":20879,"subrules":{"field_id":19634,"value":"Blue Cross Blue Shield","operator":"Match"}}]]

Are you insured by any of the following insurance plans?

  • [[{"field_id":20879,"subrules":{"field_id":20880,"value":"Blue Cross Blue Shield","operator":"Match"}}]]

Does your Blue Cross Blue Shield subscriber ID start with any of the following prefixes?