Self-Pay Patient

FOR ALL NEW PATIENTS WITHOUT INSURANCE:

Please bring on your first appointment:

  • First Appointment – $350.00 deposit prior to the first appointment (money order or cashier’s check). Your first appointment cannot be rescheduled and if canceled or missed this deposit will NOT BE REFUNDED.
  • All appointments after that are $200.00 (money order or cashier’s check).
  • Picture ID/Driver License (make sure it is current and address matches with the address provided in a new patient form. NO PO BOX PLEASE!).
  • Doctor’s notes from your previous doctor.
  • Any MRI, X-RAY or CT scan reports only.
  • Pharmacy list from your pharmacy (All in the last year)
  • Any other medical records (specialist, ER and/or surgeries)
Request Appointment
904-737-6200


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Jacksonville, Florida