Before Your Visit
To help reduce your wait time, please print the new patient forms below, complete them and bring them with you to your appointment, along with your photo ID and insurance card(s).
- New Patient Forms – PDF
- New Patient Forms – DOCX
- Notice of Privacy Practices
- Health Plan Participation
- Frequently Asked Questions
- Pre-Operative Instructions
- Post-Operative Instructions
- Preparing for Your Angiogram
- Blake Medical Center Outpatient Guide
- Map to Outpatient Cath Lab
- Notice of Nondiscrimination
- Notice of Pricing for Medical Records
Copayments, Coinsurance & Deductibles
We collect applicable copayments, coinsurance, and deductibles at the time of service. When visiting our office, please bring your most current insurance card to ensure the information is valid. Incorrect or out-of-date information will delay processing of your claim, and you may be responsible for payment in full.
We currently accept payment in the forms of Visa, MasterCard, Discover, American Express, cash, and personal checks.
If you have a balance to be paid after your service, you will receive a statement in the mail. Please note that you can either send a payment through the mail or pay by credit card by calling 941-243-3991.
Health Plan Participation
We are pleased to participate with most major health plans. When visiting our office, please bring your most current insurance card to ensure the information is valid. Incorrect or out-of-date information will delay processing of your claim, and you may be responsible for payment in full.
If your insurance provider isn’t listed, call us for more information.
Informative Links
For patient education information, please visit VascularWeb.org.
