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.
Annual Wellness Visits
An annual wellness exam or visit is an important part of preventative care. These annual visits with your primary care doctor allow for a yearly health assessment to make sure you are in good health and catch any issues that may arise early. As you prepare for your annual wellness visit, make sure to: fill out the form below and write down any questions you may have for your provider and bring them with you to your appointment.
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)
Complete the forms below and submit them securely along with your insurance card using this link, and a member of our team will be in touch.
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.
- Tricare
- CIGNA
- CFMA
- Humana
- Multiplan
- Orlando Health
- United Healthcare
- Medicare
- HPN
- Prime Health
- Blue Cross Blue Shield Florida
- 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.