Please print and complete the following forms.  Bring them to your appointment.

Cuestionario Inicial

Initial Questionnaire

Health plans

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Medicare

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MMM of Florida

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Oscar

Prefered Care Partners

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Simply Health Plan/Medicare PPO

Solis Health Plans

United Healthcare

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Aetna

Ambetter

Blue Cross Blue Shield (except Blue Select and Anthem Plans)

Cigna

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Coventry

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Doctors HelathCare Plan

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Humana Orthopedic Network

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Medica