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PATIENT INFO

Helpful information and forms for your first visit

YOUR FIRST APPOINTMENT

We encourage you to fill out all your information on the patient portal (you will receive a user name a password when you schedule your first appointment). Otherwise, please arrive early and bring the following:

  • Patient's insurance card

  • List of current prescriptions and/or over-the-counter medication, including dose and frequency, and the name and address of pharmacy including mail order
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, MRI's and/or relevant records (on disk form if available)
  • We also ask that you review our office policies as you will be required to sign that you have read and acknowledge them.


PATIENT FORMS

Registration Form

Medical Record Release

Handicap Parking

Headache Questionaire

Pain Questionaire

Physician Authorization For Medication

BUSINESS POLICIES

Office Policies

Prescription Policy

School Medication Policy

Attorneys and their Representatives

Standard Disclosure and Acknowledgement

INSURANCE

Florida Center for Headache & Neurology is a provider for Medicare and most major insurance plans, and provides insurance billing. You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please contact us. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

We accept the following insurance plans: 

Aetna

BC/BS

Golden Rule

Medicare

Seminole Tribe of Florida

Tricare

United Health Care

Well Care

& all major Auto Insurance

 

We also accept self pay patients and accommodate out of network patients, please call and we will verify benefits.

Treasure Coast
10377 S. US Highway 1. Suite 104
Port St. Lucie, FL 34952
1.877.648.4762 - 1.772.337.7272
Map and Directions

Palm Beach
2525 Burns Road
Palm Beach Gardens, FL 33410
1.877.648.4762 - 1.772.337.7272
Map and Directions

Broward

  • 1823 University Drive
  • Coral Springs, FL 33071
  • 1.877.648.4762 - 1.772.337.7272
    Map and Directions