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For Our Patients

If you’re a new MIMA patient, we want to make getting started as easy as possible. If you’re an existing patient, we know that other matters may require your signature such as a release of records or personal directives. Below you’ll find a collection of forms that you can print out that will save you time when you get to the office.


Patient Survey

If you have recently seen one of our providers, please participate in our patient survey:
 
          MIMA Medical Practice Survey

Your feedback will allow us to continuously improve and provide quality service to our patients.


Patient & Legal Forms
To download the forms, click on them below:
MIMA is now accepting new patients

 

PAL - Patient Access Link
MIMA's Patient Access Link includes services for requesting appointments, medication refills, and more. If you are an existing MIMA patient and would like to sign up for the Patient Access Link, click the link below:



Insurance
MIMA accepts most major insurance plans. The following is a list of insurance plans currently accepted by MIMA providers:

Accountable Health Plans AETNA
BCBS CCN
Cigna Coventry/Southcare
Evolutions First Health
Great West Health First Health Plans
Medicaid Medicare
NPPN One Health Plan
PHCS Plan Vista
Railroad Medicare Tricare Standard
United Healthcare

*This list is not all-inclusive and is subject to change without notice*

Billing Questions
For any billing questions, contact the MIMA Billing Dept by clicking here and filling out the online form

Education
To see what exciting classes and seminars MIMA has to offer, visit the MIMA Education page.

Patient Transportation
To find available patient transportation listings, visit the MIMA Patient Transportation page.

Patient Assistance
SHINE - Serving Health Insurance Needs of Elders
Florida Discount Drug Card Program
Patient Assistance Programs

Radiation Oncology Form
Health History Questionnaire for Radiation Oncology and Dr James Neel, Hematology / Oncology