Before Your Appointment

To make your check-in smoother and faster, please complete the New Patient 

Registration Form before your visit.
 

1. Your Insurance Card
2. A Form of Government Issued Identification.
3. Medication List
4. Bring the Forms to your appointment or Submit them securely online through our HIPAA-compliant portal below (preferred).

Submitting your forms ahead of time saves you time at check-in. It allows us to enter your key information into our secure Electronic Health Records and verify your insurance (which may take 15–20 minutes).

You may also fax the forms (registration, financial responsibility, and medication list) to: (239) 692-9436, but online submission is preferred.

Preparing for Your Appointment

You can click on the location you are visiting on our Offices page.  Our Google Maps linked

addresses allow you to familiarize yourself with the area and calculate your commute time.

Here’s how to get started:

1. Insurance card
2. Government-issued ID
3. List of current medications

Need help or ready to schedule an appointment? 

Call us at (239) 430-3668 (Option 2) or use our Self-Service Patient Portal.

Completing the section below will save you time at check-in.