Patient Info

New Patient Registration

For the convenience of our patients, we have a secure, online patient portal where you can register as a new patient. We encourage all our patients to use this portal when possible to expedite the registration process and to save you from having to arrive much earlier for your scheduled appointment. This will allow you to complete all the required forms on-line.

If, however, you prefer to complete paperwork by hand, you may download the patient registration forms here (Please see the list to download on the right). You can then email the completed forms to info@DiversityHealthCenter.com, fax them to us (813-518-0882) or bring them to your first visit. Finally, you can complete paperwork in our office, if you arrive 30 minutes ahead of your scheduled appointment time.

When you come for your scheduled appointment, please bring your insurance card(s), a government issued photo ID, a form of payment, the name of your preferred pharmacy, the name/contact information of your previous clinician and a list (or actual bottles) of any medications you are currently taking including prescription and over-the-counter medications or supplements. If you plan to have blood drawn, please be well-hydrated.

Appointments

We see patients by appointment. You may schedule an appointment by calling our office at (813) 518-0881. If you are unable to keep your scheduled appointment, we do ask that you give us 24 hours’ notice so that we may offer your appointment time to someone else in need.

Payment / Insurance

Currently Accepting:

Aetna, BCBS – BSBS Advantage 65, Blue Choice PPO/PPC, Beech Street, Blue Medicare PPO, Blue Options PPO (Network Blue), Preferred Patient Care, Traditional PPS. We do NOT accept Blue Select HMO/PPO, Health Options HMO or MyBlue HMO at present.

Cigna Open Access Plus (OAP), PPO, HMO, and POS, Choice Fund PPO. We do not accept Local or Local Plus and Connect.
Florida Medicaid (Secondary Insurance only)
Medicare
Multiplan/PHCS
Tricare Select (East Region)

We are not yet credentialed with a few major health insurance plans (United Healthcare, Humana, AVMed, Ambetter and other Medicare Advantage plans). If your plan is not listed above, we are still pending credentialing. If you have out-of-network benefits, we can see you as an out-of-network provider or on a self-pay basis. Labs and prescriptions can still be processed through your insurance.

Co-payments, co-insurance and deductibles should be paid at time of service. For your convenience, we accept most major credit cards as well as cash.

Self-pay patients will be expected to pay for the office visit and will need to cover the expenses for labs and medications out-of-pocket.

If you have questions, please feel free to contact our office at 813-518-0881.

Contacting the Office

The most efficient way to contact us is via the message feature on the patient portal. This is more secure than using standard email. Using the portal, you can request refills, request an appointment or ask basic questions. For more urgent needs, please call our office directly.

You can also contact us through our smart phone app if you have already signed up via our portal. From your phone’s app store, download “My Health Records” by Prognocis. Log in with your Portal ID and use clinic site 3145.

Prescription Refills

Please allow 24 hours for prescription refill requests to be completed. There are several options for requesting refills:

  • Send us a request through the patient portal (preferred)
  • Ask your pharmacy to fax us a request
  • Call us.

When you contact us for a refill, please provide:

  • Exact name of medication, size of pill, previous dosing instructions, number of days needed and number of refills
  • Your name, date of birth and phone number
  • Your pharmacy name, address and phone number

Check with your pharmacy 24 hours after requesting the refill. If there is a problem with refilling the prescription for you, a member of our staff will contact you. We do not refill routine prescriptions over the weekends or after hours.