Watch the video to learn how to convert a downloaded PDF, such as the clinical paperwork, and edit the form in Word. Alternatively, you can download the form and use Adobe Reader to fill in the text.
Email: info@sunstatehealthcare.app
This new patient paperwork must be completed by every new clinic patient. You can choose to:
Download, print, fill out paperwork and bring it to your appointment.
Use Adobe Reader to fill out form on your computer and either Email completed form to the office or print out the completed form and bring it to your appointment.
You will also need to provide a copy of your insurance card and state issued ID card. You can take a picture of your card (front and back) and email images to clinic or bring your card to your appointment, and we will scan a copy into your chart.
Each calendar year you will need to update the patient information we have on file for you, as many things can change over a year.
You can choose to:
Download, print, fill out paperwork and bring it to your appointment.
Use Adobe Reader to fill out form on your computer and either Email completed form to the office or print out the completed form and bring it to your appointment.
Each year you will need to provide a copy of your insurance card You can take a picture of your card (front and back) and email images to clinic or bring your card to your appointment, and we will scan a copy into your chart.
Email: info@sunstatehealthcare.app
Complete the form on the left, if you are interested in utilizing telehealth/virtual visits to communicate with and receive treatment from a provider at Sunstate Healthcare, LLC. By completing this form, you will be able to utilize telehealth as well as virual check-ins and e-visits, allowing you to communicate with the provider and receive same-day treatment if necessary.
Ensure you understand that you will be responsible for all co-pays and deductibles, per your insurance.
Download, print, fill out paperwork and bring it to the clinic.
Use Adobe Reader to fill out form on your computer and either email completed form to the office or print out the completed form and bring it to your appointment.
Closed from 12-1 for lunch
Monday 9-5
Tuesday 9-5
Wednesday 9-5
Thursday 9-5
Friday 9-2
Dr. Delva in-person appointments on Wednesday only & telehealth appointments on Thursday
Monday Varies
Tuesday Varies
Wednesday 1 pm-5 pm (Dr. Delva in-person appointments)
Thursday 1pm-5pm (Dr. Delva telehealth only appointments)
Friday Varies
Appointments with APRN Angela Tuesday and Friday