Patient Information

Patient Forms

 

In an effort to accommodate the busy schedules of our patients, we’ve included our Patient Forms below with a brief explanation of each. Please print and bring to us on the date of your appointment to help in expediting your check in process. Should have any questions regarding these forms, please give us a call at 305-229-0551 for further assistance.

 

Notice of Privacy Practice Form Bilingual
Notice of Privacy Practices English
Patient Information Form Bilingual

 

Insurance Information

 

The Office of Dr. Carlos Vaca accepts the following insurance plans. We are also available to help assist you should you have questions or concerns related to your benefits and will work with you to get you the information you need. It is important to note that we do take Medicare and HMO Walk In patients. Please call us with any questions you may have at 305-229-0551

  • Aetna
  • Blue Cross Blue Shield
  • Careplus
  • Cigna
  • Coventry
  • Florida Blue
  • Medica
  • Medicare
  • Multiplan
  • Humana
  • Preferred Care Partner
  • United Medical Resource
  • Simply Healthcare