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.
- Download Dr. Mack's New Patient Paperwork
- Download Loralee Koontz, MPAS, PA-C New Patient Paperwork
- Download Marcia's (Skin Care Specialist) New Patient Paperwork
Click here to Schedule an Appointment with Dr. Mack!
Click here to Schedule a Skin Care Appointment TODAY!
