Patient Information

APPOINTMENTS:

Appointments are available for consultation and treatment Monday thru Friday. Same day appointments are available for emergencies only. The Institute has locations in St. Augustine and Jacksonville Florida. Parking is available for your convenience. We accept most insurance plans and welcome out-of-plan patients seeking the utmost in specialized orthopedic treatment.

Contact us between 8am – 5pm, Monday through Friday, to schedule your appointment at 904-823-3764 or email us at info@flsportsmed.net

NEW PATIENT INFORMATION:

Please bring the following items with you to appointments:

Your insurance card or other health coverage information. Some insurance companies require you to have a referral or primary care authorization before treatment is given. Please check with your carrier if you are in doubt.

Walking shorts and athletic shoes (knee examination only)X-rays or MRI’s not older than twelve or eighteen months (if available)

Clinic notes or operative reports from your referring physician that relate to your condition.

Payment in full is expected at the time of your visit. Exceptions include Worker’s Compensation, Medicare and patients covered by contracted Insurance Carriers. Deductibles, co insurances and co pay will be collected according to your contract specifications.

For your convenience, we accept Visa, MasterCard, cash or check. Please contact our billing office if you have any questions at 904-823-3764 or billing@flsportsmed.net

PATIENT FORMS:

*NEW Patient’s – Please download, print and complete our New Patient form PRIOR to your visit.

New Patient Packet

*EXISTING Patients – Please download, print and complete our
Existing Patient form PRIOR to your visit.

Established Patient- New Injury Packet


 

NOTE: The privacy rule generally requires healthcare providers to take reasonable steps to limit the use of, disclosure of, and request for PHI (Private Health Information) to the minimum necessary to accomplish the intended purpose.
These provisions do not apply to uses or disclosures made pursuant to an authorization requested by the individual.
Healthcare entities must keep records of PHI disclosures. Information provided here if completed properly, will
constitute an adequate record.

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Fl Sports Medicine Institute