Patient Information
Collecting relevant information about a patient's medical history and current condition is essential to providing patients with the appropriate treatment. We use this information to get a comprehensive picture of each patient's health and use that as a guide in building their customized treatment plan. To make this step a little easier, we have provided a way to do that online.
This patient information will allow our team to develop a personalized treatment plan for your unique needs and preferences. We will need to review the patient’s medical history, current condition, any existing medications, allergies, and more. You will want to have all your insurance information ready to bring with you, along with a list of your prescriptions and current medical conditions. If you receive treatment after a work injury, be sure to bring your worker’s compensation information and documents. Be sure to include any over-the-counter medication and herbal supplements you take as well.
Request An Appointment
New Patients
After booking your first appointment, you will receive an email containing the Patient Intake Form. Please complete and submit this form 24 hours before your scheduled appointment. The information contained in this form is a critical component of creating a treatment plan based on your needs.
Please remember to bring your insurance ID card along with your drivers license on the day of your scheduled appointment.
If you have any questions while completing the Patient Intake form, please do not hesitate to call us at (813) 518-0566.
Pillowise
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Accepted Insurance Carriers
- Aetna
- Aetna Medicare Assure Plus HMO
- All Savers
- Allegiance
- Bind/UHG
- Christian Brothers/HBS
- Choose Health Affinity Program
- Florida Health Solutions
- Evolutions Healthcare Systems
- GHI
- Golden Rule
- Humana + Humana Medicare
- Medicare Florida
- Meritain Health
- Oscar
- S&S Health
- Simply Healthcare Plans
- UMR
- United Healthcare
- United Healthcare Community Plan Florida Healthy Kids
- United Healthcare Community Plan M*Plus (MMA)
- United Healthcare Dual Complete (FL)
- United Healthcare Shared Services
- WellCare Health Plan
- VA CCN
If you do not see your carrier, please contact us and we will research their specific credentialing process. We are working continuously to add to this list, check back periodically to see if your carrier has been added. If you have no insurance, or your plan does not have chiropractic benefits, there is still a way for you to receive the care you deserve. Many patients pay directly for their care, and have discovered chiropractic care to be extremely cost-effective and affordable; however, we understand cost can be a factor, talk to us today about creating a payment plan that works for you.
