Patient Checklist
Before Visit (1 wk. prior)
- Make sure that your insurance company lists our facility as an "in-network" provider.
Day of Appointment (Bring with you to the doctor's office)
- Driver's license.
- Insurance card.
- Referral.
- ***It is the PATIENT'S RESPONSIBILITY to provide this to our office. You may either fax it ahead or bring it with you on the day of your appointment.***
- All Necessary "Testing" Information. (ie. testing reports, lab results, etc.)
- ***Please note that we are requesting the testing REPORTS, not the films themselves. Please call our office with any questions. Thank you.***
- All Copays. (Specialist's Rate)
- ***Forms of payment currently accepted are most major credit cards, checks, money orders or cash. Thank you.***
- Bring all patient forms.
1602 West Timberlane Drive, Plant City, FL 33566 • Ph: (813) 754-9890 • Fx: (813) 754-7099
4120 US Hwy 98 N. Suite 100, Lakeland, FL 33809 • Ph: (863) 816-9110 • Fx: (863) 816-9112