Before Your Visit
Everything you need to be prepared for your first visit
POLICIES AND PROCEDURES
Most major insurance plans are accepted.
Be sure to check with us to ensure that our doctors are part of your insurance provider’s network. Please note that we are considered a medical specialty, and as such, you must obtain the necessary referrals from your primary care physician in advance of a first appointment with us.
We know your time is precious, but at the same time, we like to give all of our patients high quality medical care. If emergencies, deliveries or unforeseen circumstances arise during patient appointments to delay us more than 30 minutes, we will inform you and offer you the opportunity to reschedule.
If you are unable to keep your appointment, please call us to cancel as soon as possible. We will bill you a $25 fee for any appointment that you miss without prior cancellation at least 24 hours in advance.
Payment for services or co-pays are due at the time of the appointment.
If you’re a first time patient, we’d like to help speed you through your initial appointment with us. Take a moment to print and complete the following forms. The first option listed, the New Patient Packet, has all the forms combined into one document for your convenience to print together. Alternatively, you may choose to print forms individually. There are only two forms that don’t require signatures or to be filled out. The Binding Arbitration form and the Notice Of Privacy Practices forms may be read online without being printed for those conserving ink and paper.
Be sure to bring all signature forms with you to your appointment.
|New Patient Packet, Complete (18 pages)||>>Download Form Now|
|“Welcome” To Our New Patients (1 page)||>>Download Form Now|
|Binding Arbitration, English & Spanish (2 pages)||>>Download Form Now|
|Notice of Privacy Practices (6 pages)||>>Download Form Now|
|Receipt of Notice of Privacy Practices (1 page)||>>Download Form Now|
|Patient Information (1 page)||>>Download Form Now|
|Financial Agreement (1 page)||>>Download Form Now|
|Health History Questionnaire in English (2 pages)||>>Download Form Now|
|Health History Questionnaire in Spanish (2 pages)||>>Download Form Now|
|Auth to Release Medical Records (1 page)||>>Download Form Now|
|Auth to Request Medical Records (1 page)||>>Download Form Now|
Patients who wish to watch and listen to Binding Arbitration details in a video may find them in English and Spanish on the ‘Binding Arbitration’ tab at the top of this page.
From time to time, you may require for us to release a copy of your records to another medical institution. To do so, you must fill out a Medical Release form.
|Medical Release Request||>>Download Form Now|
WEIGHT LOSS PATIENTS:
Those patients joining our Weight Loss program will need to fill out a number of forms prior to their first visit.
|Diet and Exercise History||>>Download Form Now|
|Patient Release||>>Download Form Now|
We have contracts with all the major insurance companies in the United States; however each major insurance provider comprises a multitude of plans and we may not be service providers in some plans. You can either visit your plan details on your insurance provider’s website to check if The Woman’s Group is part of its service providers list, or alternatively, you can email us at insurance@TheWomansGroupTampa.com with the name of your insurance company and your group identifier and we will check on your behalf. As soon as we get the information, we will email a reply to you.