813-875-LIDS (5437)

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NEW PATIENT

Print out your new patient paperwork

NEW PATIENT INFO

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Visa, Mastercard, Discover Card

Insurance

Dr. Mack accepts the following insurance providers:

  • Aetna (HMO Requires Referral)
  • AvMed
  • Blue Cross Blue Shield (No HMO)
  • Cigna (HMO Requires Referral)
  • First Health
  • Humana (POS to PPO & EPO Only)
  • Medicare
  • Tricare
  • United Healthcare
  • Evercare

New Patient Paperwork

Please download and print the new patient paperwork so you can fill it out ahead of time and bring it with you to your first appointment.

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