New Patients

First Visit

The first visit is an extended one lasting 30 to 50 minutes. We will try to get an idea of your medical problems, your medical and family history, and to determine if you are up to date with your immunizations and preventative medicine. Please make sure you come at least 30 minutes before the appointment time in order to fill out forms. Remember also to bring your insurance information and photo ID.

Appointments

Dr. Bendetowicz sees patients by appointments only. We try to see established patients as soon as possible for sick patient’s visits.

It is of the utmost importance that you bring all of your medications to every visit or an updated list (including name, strength, and frequency) of all your medications in order to serve you better.

If unable to keep an appointment, kindly give at least 24-hour notice so we can use the time to schedule another patient.

Office Hours

Our office is open Monday through Friday 8:30 a.m. to 4:15 p.m. The office is closed on the weekends and major Holidays. An on-call Doctor is available when the office is closed.

Telephone Calls

We return telephone calls from Monday to Friday. We will make every effort to return your call as soon as possible.

Prescription Refills

Refills are based on follow-up appointments or testing. If you run out of medication refills before your appointment you can access the “Patient’s Portal” and request a refill. This is the most efficient way to request refills. You can also call the pharmacy and ask them to send us a request for additional refills.

Please remember that ordering refills is a process that takes time, so plan to request your refills no less than 72 hours before you run out. Substance-controlled prescriptions may need even more time to refill due to present regulations. Please make sure you are up-to-date with follow-up visits and testing in order to make sure that we can provide you with a refill.

Financial Policy

The payment for professional services is required at the time services are rendered.

We accept cash, checks, credit and debit cards.

Our staff is prepared to review your insurance qualifications with you and to assist you with the forms. We will bill your primary insurance and as a courtesy will also bill your secondary insurance if you have one.

Our office charges for “no show appointments.” In order to avoid a charge, kindly notify us no less than 24 hours if you are unable to come.

For billing and insurance questions or concerns, please call our billing services at (239) 215-1180.

Part-Time Florida Residents

Part time Florida residents are strongly encouraged to have a Physician up north for continuity of care.

Non-Covered Services

Some non-covered services are not billed to the insurance and are paid as an out of pocket expense from the patient. Our office communicates clearly with the patient when this is the case.


New Patient Forms

We’re always excited to meet new patients and to make your check-in process easier we have put together these forms for you to fill out and bring to our office on your first visit. You can download all the forms together as a PDF or download individual forms (PDF) as needed below. For your convenience, these are fillable forms that you can type and print. Please bring them with you to your appointment or fax them to  (239) 985-1060.  Due to HIPAA regulations, please don’t use unencrypted email.

Please print and fill out these forms so we can expedite your first visit:

  • Download All Forms Together [PDF]

Individual Forms

  • Patient Registration Form [PDF]
  • Contact Information Form [PDF]
  • Financial Responsibilities Form [PDF]
  • Adult Health History Form [PDF]
  • Prior Doctors Form [PDF]
  • Authorization to Request Medical Information [PDF]
  • Office Policies [PDF]
  • Consent Form [PDF]

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it:

Get Adobe Reader


What To Expect

Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this website. Also, take some time to read through our website to familiarize yourself with the doctor. We look forward to your first visit.

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