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Preferred Location * Aliana Allen Arlington Arvada Baytown Boulder Broken Arrow Carrollton Cedar Park Centennial College Station Colleyville Colorado Regional Office Commerce City Cypress Denton Fairfield Flower Mound Fort Worth Alliance Fort Worth Chisholm Trail Friendswood Frisco Grand Prairie Highlands Ranch Houston Heights Humble Katy Katy - Morton Ranch Keller Kyle Lake Highlands Lakewood Lake Worth Las Colinas League City Littleton Longmont Longview Lubbock Manassas McKinney Mesquite Midwest City Moore Murphy New Braunfels Norman North Arlington Oak Hill Oklahoma City Owasso Parker Pearland Pflugerville Plano Preferred Location Preston Forest Prosper Richardson Round Rock Rowlett San Antonio Castle Hills San Antonio Dominion San Antonio Southwest San Antonio West San Antonio Stone Oak Spring Cypress Spring Stuebner Sugar Land Texas Medical Center Tulsa Universal City Woodlands Yukon
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Child's Date of Birth *
Primary Insurance * Aetna Anthem BCBS Beacon Cigna Healthchoice Imagine Kaiser Permanente LifeSync/Humana Magellan Optum/United Healthcare Other Commercial Insurance Tricare UMR Medicaid Private Pay
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