NEW PATIENT FORMS
Preparing for your visit
Here are a few important things you need to know in making your first appointment with us go as smoothly as possible.
How to set up an appointment
To set up an appointment, call 888-339-0588. You can also start the pre-appointment process online by CLICKING HERE. Please be ready to provide the name of your primary or referring physician, as well as the doctor with whom you would like to schedule your appointment. Also, please have your insurance information and diagnosis available, so that we can set up a consult with the physician.
We accept all major insurance plans and will submit bills to your primary and secondary insurance carriers. Financial worries should not disrupt your treatment and our staff will work with you to explain coverage, any co-payments and help you plan financial assistance if needed. All major insurances accepted. Once we receive your insurance information, we will verify your coverage. Depending on your coverage, we will provide the insurance company with the necessary information for you to receive a referral or full authorization for your office visits, simulation, and/or treatment appointments.
At Florida Center For Breast Conservation, we understand your time is valuable. We have new New Patient Information Forms. Filling this out in advance will speed your way through the registration process and get you in to see the doctor sooner! We offer two options.
- Click “PDF DOWNLOAD” button, fill out the forms online, and then print or download.
- You can also download a blank PDF and then fill out forms by hand then print and bring with you.
EXPERT & EXPERIENCED: TALK TO A BREAST CANCER TREATMENT EXPERT
Get a second opinion on your breast cancer treatment options from Florida Center for Breast Conservation, your breast cancer treatment experts.