Charles Kent MD | 3301 Thomasville Rd | Ste 102 | Tallahassee Fl, 32308 


Instructions

Please complete and return the forms to us by:

1. Bringing them with you to your scheduled appointment, or

2. Faxing them to our office: (850) 576-8346


Please bring all medications you are currently taking with you to your appointment. We will also need copies of your driver's license or photo ID and insurance card.

ATTENTION:

Patients who have seen Dr. Kent in Quincy are still new patients at this practice, and we ask that you follow the new patient instructions to make the transition easier.

New Patients


Below are our forms for New Patients. To minimize wait time, please download and complete them prior to your scheduled appointment.

Billing


Payment is expected at the time of service. We are happy to bill your insurance company on your behalf, but all copays are expected to be paid at the time of your visit.


Some insurance companies, like Florida Blue, have policies that pay for a percentage of the fee while the patient is billed for the remainder. If a patient fails to pay his/her percentage when billed, he/she will be required in the future to pay in full on the day of service, and then apply for reimbursement with his/her insurance company.


Please contact our office if you have any questions, (850) 391-9622. Ask for billing.

Return Patients


Below are forms for patients that are returning to our office. Please fill out the appropriate forms and bring them to your appointment.

Insurance


We accept the following insurances:


Aetna

Capital Health Plan

Cigna

Florida Blue (formerly Blue Cross/Blue Shield)

Medicare

Tricare

United Healthcare


You may be asked for your valid insurance card at each visit. Please inform us of any changes in your insurance.