Patient Info
Office Hours
Monday through Friday 8:30 a.m. to 5:00 p.m.
Phone: (727) 344-6000
Fax: (727) 344-7732
Patient Forms
The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit. Please be prepared to provide this information to our office along with your current medical insurance information. If you have any questions when filling out these forms, please do the best you can and our staff will assist you with your questions on the day of your visit.
The following forms are 5 pages long and is in Microsoft Word format. If you have any difficulties downloading or printing these pages please do not hesitate to call our office.
Insurances Accepted
- Aetna-All types (note: Most HMO plans need a referral from PCP)
- AvMed- All types
- BCBS-All types
- Cigna-All types
- Coventry-All types
- Emblem Health
- GHI
- Great West-All types
- Humana-all types (note: Most HMO plans need a referral from PCP)
- Mail Handlers Benefit Plan
- Medica Health Plan
- Medicare-Part B only (note: Part A is for Hospital Services, Part B is for Medical Providers)
- National Association of Letter Carriers
- PHCS- Most Plans
- United Healthcare-All types
- QHP (Quality Health plans)
- QualChoice
- Tricare
- Standard (PPO) and Tricare for Life (Medicare Supplement)
- Prime (Primary HMO) we can see patient but we are non-participating and additional costs will apply.
NOTE: We accept most supplement or secondary insurances to Medicare.
Please be advised that we do not accept insurance for cosmetic procedures.
