New Patient Information
When you visit one of our seven South Florida locations you can expect to receive world-class care from our friendly staff and qualified professional providers.
New Patient Forms
For your convenience, Primary Care Physicians of Hollywood provides you with downloadable new patient forms that you can complete prior to your visit. Please take the time to complete each form listed below online, print out the form and bring it with you to your appointment.
- Consent for Medical Release
- Consent For Treatment
- Notice Of Privacy Practices
- Patient History
- Patient Information
- Patient Request
- Authorization to Disclose Health Information
- Send Medical Records to Another Recipient
To make sure PCP Hollywood has current patient information, patients will be asked to fill out a brief demographic sheet. This will assist us in meeting your medical needs.
Please have the following information available:
• Social Security Number
• Personal Information (name, physical and mailing address, and phone numbers)
• Guardian information (if necessary)
• Reason for visit (i.e. regular medical visit, workman’s compensation, motor vehicle accident)
• Employment information (if currently employed)
• Current insurance information (Medicaid, Medicare, Huma and other insurances accepted). If you do not have insurance, ask about our other financial options.
Please arrive 20 minutes prior to your designated check-in time and bring the following items to your first appointment:
• Insurance Card
• Copy of Drivers License/Photo ID
• A list of current prescriptions or over-the-counter medications you are taking
• Your co-pay/deductible (if applicable)
• New Patient Forms Completed
The front desk will ask you what type of appointment you are here for. You may have to fill out additional paperwork. Payment will be expected at the time of service.
Appointment & Scheduling
To make an appointment, please call us in advance at 954 983 9191. You can expect to see your primary care provider or a member of their team anywhere from the day you call to 5 days out. It’s important to arrive at your check in time if you’re an established patient to secure your scheduled appointment and to allow time for registration at the front desk.
Same Day Appointments
Same-day appointments are available for patients who need to see a health care provider on an urgent basis. These appointments are filled on a first-come, first-serve basis so call early.
Patients are considered late if they don’t arrive by their check in time. While we will do all that we can to help late patients, we cannot always accommodate you and may have to reschedule.
To cancel an appointment, be sure to give PCP Hollywood 24-hours notice. Failure to notify within 24 hours prior to your appointment is considered a “No Show.” Patients with 3 or more documented “no shows” or cancels with less than 24 hours, may be charged a no-show fee and will be reviewed for possible discharge from the practice.
To provide you with the best care, make sure to bring in all medications that are prescribed by all providers, over the counter medicine, and herbal supplements. This helps us anticipate any drug interaction and prescribe the correct dosages.
Please plan accordingly for prescription refills and call us several days before your medication runs out. It will take up to three business days to process prescription refills. Refill requests are not accepted over the phone if it’s been several months since your last appointment; in such an occasion, you may be asked to make an appointment to refill your prescription. If a new prescription is required, you will need to call us to set up an appointment.
To request a copy of your medical record, you will need to sign a release of information and indicate the specific information you are requesting. Payment is due at the time of request: $15 for 1-50 pages, $30 for 51-100 pages, and $45 for 101-150. The turnaround time is a maximum of 30 days. Medical Records will contact you when the records are ready to pick up. A physician’s office can request a copy of your medical records at no charge.
Billing and Insurance Information
Primary Care Physicians of Hollywood strives to serve our patients efficiently and effectively. In order for us to achieve our goals, we ask that each one of our patients do their part in cooperating and respecting our policies regarding insurance and payment. Full payment for co-pays, deductibles and non-covered services are expected at the time of service. We accept cash, checks and all major credit cards.
We participate with most major insurance companies but we do recommend that you contact your insurance company, prior to your appointment, to verify we are participating providers on your insurance plan. Please feel free to contact our Billing Department if you have any other questions regarding which insurance plans we accept or any patient billing concerns at 954.436.1010.
On Call Coverage/ Emergency
A health care provider is on call 24 hours a day. Dial the main number to connect with the answering service. Calls should only be for urgent medical concerns after business hours. If you have a life threatening emergency at any time, please call 911.
For More Information
To learn more about Primary Care Physicians Of Hollywood, Please call 954 983 9191, Monday through Friday, 8 a.m. to 4:30 p.m. To find general information and specific health topics, visit our online health library.