Patient Paperwork
Patient Paperwork – Required At Your Appointment
To ensure a smooth check-in process, all new patients must complete the required paperwork prior to their scheduled appointment. If you DO NOT already have a scheduled appointment, please call our office at the phone number below.
New patients must also bring a current list of medications, insurance cards and any helpful medical records and/or prior testing. Please also plan to arrive 15 minutes prior to your scheduled appointment.
We offer three options to submit your completed forms:
- Complete online through this website.
- Download, print, and bring the completed forms to your appointment.
- Email the completed forms to [email protected] pr
ior to your visit. Subject line: Patients Full Name and Date of Birth.
For your convenience, the following is a list of insurance companies with which we are currently contracted. This list is subject to changes. Preparing in advance helps save time and improves your overall experience.
Accepted Insurance Plans:
- Aetna Medicare PPO
- Aetna PPO
- Anthem Blue Cross PPO
- Blue Cross / Blue Shield PPO
- Florida Blue PPO
- Cigna Life
- Cigna Open Access Plus
- Medicare (NO United Health or Baycare Medicare)
- Meritain Health – PHCS and First Health Plans