Insurance & Forms

Insurance

We participate in a variety of insurance plans and financing options for our patients. We will file your bill with your insurance company when provided a copy of your insurance card. If we do not participate with your insurance plan, you may be reimbursed at a reduced rate if you submit a bill to your insurance company.

CareCredit:

With CareCredit healthcare, financing is made easy. Whether you use your healthcare credit card for your deductible or to pay for treatments and procedures not covered by insurance, CareCredit helps make the health, wellness, beauty treatments, and procedures that you want done, possible.

Insurances we Participate with:

  • Aetna, Aetna Medicare
  • Avmed
  • Blue Cross Blue Shield – All Plans
  • CIGNA
  • Coventry National
  • Humana PPO/HMO, Medicare
  • Medicare, Florida Health Care Medicare
  • Multiplan/PHCS
  • Tricare, Tricare Prime, Tricare Select
  • United Health Care, UHC AARP Medicare Complete Plan

Medicaid Plans we Participate with:

  • Medicaid - Primary Only
  • Sunshine
  • United Health Care/ UHC Healthykids
  • Wellcare/Staywell/Staywell Kids
  • Florida Aetna Better Health
  • Florida Ambetter Exchange
  • Florida Molina Marketplace

Florida Health Care Plans:

  • Flagler Hospital (FHCP) only

Forms

Below is a list of documents pertaining to our practice. If you would like to fill out your initial paperwork at
home, please download the following forms and bring them to the office prior to your visit. We update the
patient registration form annually. Fill out the health history form only if you are new to our practice.

Request an Appointment

Please fill out the form and be sure to include your preferred date and time.

  • Date Format: MM slash DD slash YYYY
  • :

St. Augustine

(904) 819-1500

Suite 3002 in Flagler Hospital
300 Health Park Blvd
St. Augustine, FL 32086

Palm Coast

(386) 246-2350

5 Boulder Rock Drive
Palm Coast, FL 32137

Palatka

(386) 530-2380

700 Zeagler Drive, Suite 3
Palatka, FL 32177

World Golf Village

(904) 484-7378

Village at Murabella
70 Turin Terrace, Suite 200
St. Augustine, FL 32092
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