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:

Florida Health Care Plans:

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.

New Patient – GYN Health History & Registration | Click to Download PDF
Established Patient – GYN Health History & Registration | Click to Download PDF
OB Health History & Registration | Click to Download PDF
Biote Patient Assessment | Click to Download PDF

Insurance & Forms

Insurance

CareCredit:

Insurances we Participate with:

Medicaid Plans we Participate with:

Florida Health Care Plans:

Forms

Request an Appointment

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

St. Augustine

(904) 819-1500

Palm Coast

(904) 819-1500

Palatka

(904) 819-1500

World Golf Village

(904) 819-1500

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