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We see
all patients on an appointment basis and
ask that you call in advance so that we
may reserve time for you. |
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If you are unable
to keep an appointment, 24-hour notice
is appreciated so that this time may be
given to another patient. |
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If you are visiting
one of our offices for the first time either as
a new patient consultation or as a follow-up to
hospital visits, please bring the following with
you: |
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Your
x-rays/CT Films |
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Your current
insurance card |
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A
list of your current medications,
including dosages, with any refills
you need, which the medical assistant
will then attach directly to your
chart |
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A referral, valid
for one visit, if your insurance requires
it |
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Your driver's license or a current
photo i.d. |
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A copy of the results of any recent
breathing tests |
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Completed patient
forms |
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Due to the nature of our
practice, please be considerate and do not wear
perfume, cologne, or other fragrances to our office,
as they may worsen other patients' conditions.
Also, please treat our staff kindly and courteously
as we are here to help you. |
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For the convenience of our
new patients, you will find listed below two patient
forms which can be viewed, printed, and completed
before arriving for your first visit. |
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[Please click here for information
on accessing and printing forms] |
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Preparation
for methacholine challenge test |
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No
short-acting inhaled bronchodilators
(Albuterol, Proventil, Ventolin,
Xopenex, Pro-Air, etc.) for 8 hours
prior to testing. |
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No medium-acting
inhaled bronchodilators (Atrovent)
for 24 hours prior to testing. |
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No
long-acting inhaled bronchodilators
(Advair, Serevent, Foradil, Spiriva,
Brovans, etc.) for 48 hours prior
to testing. |
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No
inhaled steroids (Aerobid, Azmacort,
Advair, Asmanex, Flovent, Pulmicort,
Symbicort, etc.) for 48 hours prior
to testing. |
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No
antihistamines (Allegra, Atarax,
Cetirizine, Clarinex, Claratin,
Fexafenadine, Loratadine, Zyrtec,
etc.) for 3 days prior to testing.
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No Theophylline,
Uniphyl, or Theo-24 for 48 hours
prior to testing. |
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No Cromolyn
Sodium (Intal), or Nedocromil (Tilade)
for 8 hours prior to testing. |
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No Leukotriene
modifiers for 24 hours prior to
testing. |
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No caffeine
the day of the test (coffee, tea,
sodas, chocolate). |
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NO SMOKING
24 hours prior to testing. |
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DO NOT stop
taking prescribed nasal sprays prior
to the test. |
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If you do not
see your inhaler listed here, please ask
if you need to stop using it prior to taking
this test.
* * YOU CAN NOT TAKE
THIS TEST IF YOU ARE PREGNANT
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Preparation
for methacholine challenge test |
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No
short-acting inhaled bronchodilators
(Albuterol, Proventil, Ventolin, Xopenex,
Pro-Air, etc.) for 4 hours prior to
testing. |
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No Atrovent
for 4 hours prior to testing. |
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No
long-acting inhaled bronchodilators
(Advair, Serevent, Foradil, Spiriva,
Brovans, etc.) for 12 hours prior
to testing. |
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No Theophylline,
Uniphyl, or Theo-24 for 12 hours prior
to testing. |
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No caffeine
the day of the test (coffee, tea,
sodas, chocolate). |
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NO SMOKING 24
hours prior to testing. |
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If you do not
see your inhaler listed here, please ask
if you need to stop using it prior to taking
this test. |
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Your health
care insurance coverage may cover some, but not
all, of the cost of your treatment. Most plans
have co-payments, deductibles, and other expenses
which must be paid by the patient. Please bring
your insurance card and co-pay with you to your
visit. Please bring a current referral with you
to your appointment, if one is required by your
insurance company.
Even though we do participate with some insurance
programs, it is important to remember that your
insurance is a contract between you and your insurance
company. As such, we do not file claims to commercial
insurance carriers, except as a courtesy to our
hospital patients. We will make every reasonable
effort to assist you. If you have further questions,
please refer to our payment
policy or call our billing office
at 407-425-6590.
We have contracted to participate with the following
companies in their HMO and/or PPO products. Each
physician's participation with individual carriers
is subject to change without notice. Patients
should call their insurance carriers directly
to verify their physician's current participation
status with their insurance plan. Our participation
with these carriers is strictly as pulmonary and
critical care specialists.
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| Participating
HMO/PPO Insurance Carriers |
| Medicare |
| Medicaid |
| Medipass |
| Amerigroup |
| Aetna |
| Blue Cross Blue Shield of FLorida |
| Champus |
| Tricare |
| Cigna |
| Humana |
| Humana Gold |
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| Staywell |
| Florida Hospital |
| Great West |
| Veterans Administration |
| Quality Health Plans |
| Wellcare |
| United |
| Freedom Health |
| Healthease |
| WellMed |
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If we do not
participate with your insurance plan, payment
in full is expected at the time services are rendered.
VISA, Mastercard, Discover, personal checks, and
cash are accepted. An itemized statement is available
to you as you leave the office for you to file
with your insurance carrier for reimbursement.
If at any time payment poses a financial hardship,
individual arrangements can be made and should
be discussed with our billing staff prior to your
appointment.
Payment for the deductibles, coinsurance, and
co-pays for participating insurance plans is expected
at the time of service. If you have an HMO that
requires a referral, the referral must be brought
with you at the time of the appointment or we
will be unable to see you without payment in full.
Our billing staff will be happy to assist you
with any billing questions you may have. The billing
department phone is 407-425-6590.
You may leave a message and/or request for the
billing personnel 24 hours a day on this line.
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