New Patients

Patient Forms

Please print and fill out these forms so we can expedite your first visit:

These PDF documents are for informational purposes. Click on the file to open and view. 

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. We are happy to file insurance for your reimbursement.

We are currently accepting the following insurances:

  • Avmed
  • Cigna
  • Medicare
  • Humana
  • Medicaid
  • Staywell / Wellcare
  • Florida Blue
  • Blue Cross Blue Shield
  • Ambetter from Sunshine
  • Sunshine Medicaid
  • Fox Everett
  • GEHA
  • ChampVA
  • Freedom Health
  • Golden Rule
  • Healthscope
  • Mailhandlers
  • Tricare
  • United Healthcare Commercial
  • UMR
  • UMWA

Payment Options

Our office is a proud provider of CareCredit. Please visit to apply now. If you have any questions Please call our Financial Coordinator at 386-758-6094 for details.

What To Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It will also help alleviate any unnecessary anxiety you may be feeling prior to your first appointment. Educate yourself on your symptoms by reviewing the content on this website. Also, take some time to review our staff page and familiarize yourself with the doctors. We look forward to your first visit.

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