Forms & Requests

Our office hours are
Monday - Friday, 8am - 4pm,
Friday: Last appointment at 2pm
Closing for lunch from 11:40am-12:10pm

We accept most insurance plans, however, it is the patients responsibility to verify the providers participation with their individual plan. If the provider does not participate with their plan the patient will be responsible for the non covered charges. Our office is not accepting the affordable care act plans.

Click Here To Fill Out The New Patient Packet Online or

Click Here to download the new patient paper work(printable version)

Medical and Wellness services are provided by appointment only.

For Prescription Refills please alow 24-48 hrs for processing. Please have your pharmacist fax an order for refill to our office 386-774-0606

Keep in mind our office is closed on weekends and holidays. Please allow enough time for your prescriptions to be refilled.

We do charge a $20.00 no show fee for patients who schedule appointments and do not notify us within 24 hrs of not being able to keep their appointment.

A charge of $25.00 is collected for all forms that need to be completed by the physician for other outside entities, example disability.

Our New Patient policy: Please come by our office, fill out the new patient packet online, or download the new patient paper work on this site and complete fully and send to our office. Once reviewed and previous medical records obtained, we will have our staff call and make your appointment.

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