Insurance
Medicare-Traditional Part B
New Patient Forms
Click on the links below to download our new patient information forms. You can either bring in your completed packet to your appointment or you can email the completed packet to us at
New Patient Initial Health Assessment
Notice of Privacy Practices
Attention New Patients:
ALL NEW PATIENTS MUST CONTACT OUR OFFICE BY NOON THE DAY BEFORE, TO CONFIRM THE APPOINTMENT.
ALL NEW PATIENTS MUST ARRIVE 30 MINUTES AHEAD OF YOUR APPOINTMENT TIME WITH YOUR COMPLETED PAPERWORK, PHOTO IDENTIFICATION, AND INSURANCE CARD(S) IF APPLICABLE. IF YOU FAIL TO ARRIVE 30 MINUTES EARLY AND/OR DO NOT HAVE YOUR PAPERWORK FILLED OUT WE WILL NEED TO RESCHEDULE YOUR APPOINTMENT.
To find out more about Dr. Young and Young Foundational Health Center, call our office at 727-545-4600 and schedule your appointment to get on the path to a healthier you!
Courtney is our new patient coordinator and she can help you schedule your first visit. (new patients only) Please ask for her or press extension 109.
