Step 1:
If you have Adobe Acrobat Reader you may skip to step two. If you do not have Adobe Acrobat Reader or are unsure, click the 'Download PDF Reader' link below this text. This will take you to the Adobe Reader Download site. Follow their instructions to install the necessary reader.
Step 2:
Next click on the 'Read HIPPAA Form'. You do not need print this but it is essential that you read it before signing the last office form below.
Step 3:
Now click the 'Download Office Forms' button below this text. Click 'Save' on the window and select where where you would like to save the file. Then, when the download is complete, open the file. This should open Adobe Acrobat Reader containing the Ullman Eye Consultants' office forms.
Step 4:
Now your third and final step is to simply push the 'Print Button' in Adobe Acrobat. A picture of the button can be found below this text. Then, fill out the forms and bring them in on your visit.
These forms are provided for your convience, and are not required. This will eliminate paper work during your visit and will decrease your waiting time.
Ullman Eye Consultants is a participating Medicare provider. We accept Medicare assignment, and as a courtesy, will file with your secondary insurance if applicable.
We are also participating providers with most major medical insurance plans, including selected plans from:
Medicare
Railroad Medicare
Blue Cross / Blue Shield of Florida
Blue Cross / Blue Shield of Alabama
Wellcare HMO
United Healthcare of Florida
Health Options
Atena
Tricare
Beech Street (most plans)
PHCS
Humana Choice Care
This is just a small sample of plans that we participate in. Please contact us at 850-208-1900 to see if we participate in your particular insurance plan or if you have any other insurance questions.
If you are in an HMO or PPO co-payment is expected at the time of service. It is the patient's responsibility to obtain the necessary referrals and / or authorizations. It is ultimately your responsibility to know what insurance coverage you have and what authorizations are necessary. Our office will assist you whenever possible.
Ullman Eye Consultants
9400 University Parkway #302
Pensacola, FL 32514
