NEW PATIENT FORMS
Please print and complete all the following forms and bring them with you during your initial visit. Alternatively, you can mail them at least 3 days prior to your visit to the following address:
Premier Health Care, Inc.
Attn : Front Office
218 Pasadena Ave S
St. Petersburg, FL 33707-1251
Click on links to download PDF Forms
Before you come to our office visit, please check the following:
Bring your current insurance card (s) - we are a participating provider on most insurance plans
List of current medications with dosage strength
Past medical history with physicians you have seen
One of our physicians - Dr. Vijaya Cherukuri, Dr. Akila Ananthakrishnan or Dr. Consuella G. Margineanu - is your Primary Care physicians
Co-pays are due at the time of service - we accept all major credit cards
