{"id":49,"date":"2013-03-12T18:47:58","date_gmt":"2013-03-12T18:47:58","guid":{"rendered":"http:\/\/pinellaspsych.com\/?page_id=49"},"modified":"2021-03-04T20:27:36","modified_gmt":"2021-03-04T20:27:36","slug":"new-patient-forms-2","status":"publish","type":"page","link":"https:\/\/pinellaspsych.com\/?page_id=49","title":{"rendered":"New Patient Forms"},"content":{"rendered":"<p style=\"text-align: center;\"><strong>We are proud to be a network provider for all Blue Cross and Blue Shield policies, Medicare, Cigna PPO, and Florida Blue. We are also a provider for Bright Health Insurance which you can inquire about.<\/strong><\/p>\n<p>Please complete all applicable forms and return them to the office prior to scheduling an appointment. You may mail, fax, or email the completed paperwork back to the office, once your paperwork has been received and your insurance verified we can schedule you a convenient appointment.<\/p>\n<p>To <b>mail<\/b> it to us, our address is 2430 Estancia Blvd. Suite 104, Clearwater, FL 33761.<br \/>\nTo <b>fax<\/b> it to us, our fax number is: 727-796-7350.<br \/>\nTo <b>email<\/b> it, our email is: docrockpsych@gmail.com<\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li><a href=\"https:\/\/pinellaspsych.com\/wp-content\/uploads\/2021\/03\/Joseph-Haas-Adult-Forms-2.27.21.pdf\">Adult New Patient Forms<\/a><\/li>\n<li><a href=\"https:\/\/pinellaspsych.com\/wp-content\/uploads\/2021\/02\/ChildForms-2.4.21.pdf\">Child Forms<\/a><\/li>\n<li><a href=\"http:\/\/pinellaspsych.com\/wp-content\/uploads\/2013\/03\/ADHD-Forms.pdf\">ADHD Forms<\/a><\/li>\n<li><a href=\"http:\/\/pinellaspsych.com\/wp-content\/uploads\/2013\/03\/Obesity-Worksheet.pdf\">Weight Loss Worksheet<\/a><\/li>\n<li><a href=\"http:\/\/pinellaspsych.com\/wp-content\/uploads\/2013\/03\/AvoidingOpioidsforBackPain.pdf\">Avoiding Opioids for Lower Back Pain<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>We are proud to be a network provider for all Blue Cross and Blue Shield policies, Medicare, Cigna PPO, and Florida Blue. We are also a provider for Bright Health Insurance which you can inquire about. Please complete all applicable &hellip; <a href=\"https:\/\/pinellaspsych.com\/?page_id=49\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":[],"_links":{"self":[{"href":"https:\/\/pinellaspsych.com\/index.php?rest_route=\/wp\/v2\/pages\/49"}],"collection":[{"href":"https:\/\/pinellaspsych.com\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/pinellaspsych.com\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/pinellaspsych.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/pinellaspsych.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=49"}],"version-history":[{"count":26,"href":"https:\/\/pinellaspsych.com\/index.php?rest_route=\/wp\/v2\/pages\/49\/revisions"}],"predecessor-version":[{"id":474,"href":"https:\/\/pinellaspsych.com\/index.php?rest_route=\/wp\/v2\/pages\/49\/revisions\/474"}],"wp:attachment":[{"href":"https:\/\/pinellaspsych.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=49"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}