New Patient Forms

Download and fill out patient forms for your visit. Please bring a photo ID and insurance card with you. If you have questions please call your Office Location or send them a Message.

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find answers / faq.

I'd Like to Become A New Patient

Filling out our short Permission To Contact Form is the best way to get started as a new patient. We’ll contact you to discuss locations, care services and insurance options, helping you understand how we can provide you with the best tailored health care to fit your needs.

become a new patient

You can schedule your next appointment as an existing patient or book your FIRST appointment as a new patient.

Schedule An Appointment

We accept Medicare Plans and most major commercial insurances. Below is a complete list of our accepted insurances.

* Accepted insurances are subject to change and may vary by location. Please contact your office for the latest information.
Find a location

AARP Medicare Humana – Cap
AARP Medicare Complete Humana – PPO
Aetna Medicaid (select locations)
Aetna – Cap Medicare
Aetna – HMO Meritian Health
Aetna – PPO Molina Health Care
Aetna Better Health Oscar
Aetna Medicare Plan Simply
All Savers Insurance Co. Simply Health Plan – CAP
Ambetter/Sunshine Simply Health Plan – Commercial
Anthem BCBS Staywell
BCBS – Cap Plan Tricare
BCBS – PPO and HMO UMR
BCBS of Florida – PPO and HMO United HealthCare
Bright Health Molina United HealthCare Choice
Bright Health Plan United HealthCare Dual Plan
CarePlus United HealthCare PPO
Cigna PPO Wellcare
GHI WellCare Health Plans of Florida – CAP
Humana  

 

For billing or payment questions please email mystatement@pcc-med.com and a billing representative will contact you regarding your inquiry.

* Include an invoice or statement number if available

Medical records release forms need to be filled out, signed and brought or faxed to your office location. Please contact the office if you have questions.

To learn about your rights under HIPAA click here.
* PCC adheres strictly to the current HIPAA regulations and guidelines as listed under HSS.gov.

RECORDS RELEASE ONLY - ENGLISH RECORDS RELEASE ONLY - SPANISH Find your location

Yes. We off transportation service for all our locations through UBER Medical. Please contact the PCC Concierge Line for information or to schedule your ride.

(844) 722-3627