Patient Resources

Obstetrics and Gynecology Associates Of Central Florida

Overview of Patient Resources

Our OB/GYN Patient Resource Page is designed to make your experience with our practice simple, informed, and stress-free. Here you’ll find important office policies, financial and insurance information, downloadable patient forms to help you prepare for your appointment. We also provide helpful educational links and guides covering pregnancy, so you can feel confident and informed at every stage of your care.

Medical Release Information

Please allow fifteen business days for medical records to be transferred.

If you need to have medical records transferred to our office from another facility, or transferred from our facility to another, please download and fill out the third party medical record release form using the button below and either mail or fax it to our office.

Medical Release Form

If you would like to request your medical records to be released to yourself please complete patient medical records release form below and either mail or fax it to our office.

FAX Number: (407) 846-3989

If you have any questions feel free to contact our medical records department at (407) 846-7200.

Health Insurance Portability & Accountability (HIPAA)

Notice of Privacy Practices
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.

Please review our Notice of Privacy Practice information carefully using the link(s) below.

Notice of Privacy Practices

Notice of Privacy Practices (Spanish)

If you have questions about this Notice or any complaints about our privacy practices, please contact our Privacy Officer, either by phone or in writing at:

Office of the HIPAA Privacy and Security Officer
Phone: (866) 825-1606
1501 Yamato Road, Suite 200 West
Boca Raton, FL 33431

Payment Collection Policy

In accordance with our Financial Agreement patients have affirmed acknowledgment of and assume full responsibility to pay for those services in accordance with the rates that are in affect at Obstetrics and Gynecology Associates of Central Florida, LLC

Payment for co-payments, deductibles and co-insurances are expected at the time services are rendered. Any necessary financial arrangements are to be made prior to treatment. We bill only insurances we are contracted with and the patient is expected to know what coverage they have.

If your insurance requires a referral or authorization, you must have it prior to the time of service. Your appointment will be rescheduled if authorization is not obtained.

During the course of your treatment, separate charges for laboratory, hospital, or anesthesia services may occur. Our office is not responsible for billing these service. You may receive separate bills from these facilities. If you have questions regarding their charges, please contact these facilities directly.

*Please note that there will be a $50.00 fee for no show appointments, or if cancelled less than 24 hours.

Accepted Insurance

Please note, this list is NOT all inclusive. If you do not see your insurance provider, contact our office at (407) 846-7200 for more information. We accept Self – Pay Patients.