Forms


 

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

Location
PREMIER HEALTH CARE INC
218 Pasadena Ave S
Saint Petersburg, FL 33707
Phone: 727-201-3343
Fax: 727-345-0100
Office Hours

Get in touch

727-201-3343