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Patient Resources

Payment Options

When you call our office for your appointment, we will give you an estimate of the fees for the visit. We will be happy to accept your personal check, Visa, MasterCard, Discover, or cash.

 

We are participating providers for Medicare and many managed care networks. Therefore, as a service to you, we will accept your co-insurance or co-payment at the time of your appointment and will bill your insurance directly. Please bring your current insurance card(s) with you so that we can assist you in determining your benefits.

 

For our HMO patients, we ask your assistance in obtaining a written authorization from your primary physician prior to your scheduled appointment. Without this, your appointment may be delayed. Our insurance specialist is available to arrange a payment plan for all services. We encourage you to communicate your needs to us.

Online Forms

At the start of your first office visit, you will be asked to complete the following patient forms. Please arrive 15 minutes early to allow time to complete these forms. Or you may print and complete these forms in the convenience of your own home prior to your first office visit.   You will also need to bring a photo ID, insurance card(s) and a list of all medications you are currently taking or bring your medication bottles with you to the appointment.


Forms you need to complete for your follow-up visit:


Hospital Privileges


  • Lee Memorial Hospital (Cleveland Campus)
  • Lee HealthPark
  • Cape Coral Hospital
  • Gulf Coast Medical Center