Baptist Medical Group Internal Medicine - Gulf Breeze
New Patient Paperwork
DEPARTMENT OF BAPTIST HOSPITAL
Richard J. Stachler, M.D., is a caring internal medicine physician who provides quality, convenient and personable care for the entire family. Dr. Stachler's office is conveniently located directly behind Gulf Breeze Hospital in the Medical Office Building.
We offer a full scope of treatment options for a wide array of conditions, ailments and concerns, including minor aches, pains, bruises, scrapes, bites, colds, sinus infections, ear aches, diabetes management and more.
While at our office, you’ll meet with several of our staff members. Our front-office staff will help you get settled and complete your paperwork. They’ll also see that our clinical staff know of your arrival and can start your care.
We’re so happy to have the opportunity to provide you with the compassionate, personal health-care experience you deserve. To ensure you have a pleasant first office visit, we ask that you please download and complete your new-patient paperwork prior to your appointment. Bring the completed paperwork along with the items provided in the “What to Bring” section below. Please also be sure to review the full “Appointment Information” section. As always, you can contact our office with any questions.
To save you an extra step at the office, we encourage all new patients to download our new-patient paperwork forms on this page. Simply print the forms, complete them and bring them completed to your appointment. There may be a few additional items for you to sign upon arrival at your appointment.
What to Bring
Please bring your completed new-patient paperwork, a valid photo ID, your current insurance card and any current prescriptions or medicine you’re taking to your appointment. You are always welcome to bring a significant other, family member or caregiver with you to your appointment.
To help you have the best possible experience at your appointment, we ask that you please arrive 15 minutes prior to your appointment time.
To ensure we’re able to continue to provide the personal care you expect from a Baptist Medical Group physician, it’s important that you let us know immediately upon realizing you may be unable to keep your appointment. We request you notify the office with at least 24 hours notice whenever you are unable to keep your appointment.
Most Insurances Accepted
We accept most major insurance plans and invite you to call our office to learn the financial details specific to your insurance coverage.
Our Financial Policy
It’s our policy that co-payments, co-insurance, deductibles and any outstanding balances are due at the time of service. This means that you will be expected to pay those items (as defined by your insurance policy) while at our office for your scheduled appointment. For your convenience, we accept payments in cash, check or credit card.
It’s important to note that you are financially responsible for the care you receive, even if your insurance does not pay. If you have questions, we encourage you to contact our office and our staff will do everything they can to serve you.
Richard J. Stachler, M.D.