Forms
If you are an existing patient and are looking for helpful forms such as blood sugar logs or care instructions, please view the resources we offer below.
Provide feedback / Patient Survey
New Patient?
We are welcoming New Patients. You must call to establish with us before we schedule your annual physical exam. Please have the following information ready when contacting us:
Name • Date of Birth • Phone • Email • Address • Insurance Card (if applicable)
Either call 407-581-9065, or complete the forms below and submit securely along with your insurance card using this link.
You must download Adobe to complete these forms.
Accepted Insurances
We accept the following major insurances. This list is not comprehensive and is not a guarantee of coverage or benefits.
– CIGNA
– Blue Cross Blue Shield Florida:
– BlueCard PPO Basic
– BlueCard PPO/EPO
– BlueCard Traditional
– Medicare Advantage PPO
– United Healthcare
– Golden Rule
– Aetna
– Medicare Part B Florida
– AARP Medicare Complete
– TriEast, Tricare, Humana Military, TriCare Palmetto
– UMR Wausau / UHIS
– Oscar Health
– Bright Health Insurance Plans
*Starting 2020 we will accept both Commercial and Medicare Bright Health Insurance Plans.