Patient Resources
We're committed to providing you with excellent healthcare service.
Lorem ipsum dolor sit amet consectetur. Faucibus malesuada massa egestas euismod quam leo mi congue.
Patient Forms
To expedite your upcoming appointment, please print and complete any necessary Patient Forms beforehand and bring to your appointment. We ask that you please also remember to bring the following to your appointment:
- Your insurance card
- Photo ID*
- A list of medications
- Your preferred pharmacy information (fax number, address) or a prescription bottle
- A referral, if needed
- Payment, if one applies
Forms in English
New Patient Form
Acknowledgment of Receipt of Privacy Practices
Release of Health Information
Non-Discrimination Policy
Confidential Channel Communication Request
Formularios en Español
Aviso de Prácticas de Privacidad
Divulgación de Información Médica
Politica de No Disciminacion
Solicitud de Comunicacion de Canal Confidencial
Insurance Information
MSPB accepts most major types of health insurance. Please check with your Provider’s office before you schedule an appointment to make sure your Provider accepts your insurance.
If your health insurance plan is not listed, please contact your insurance plan to find out for sure what coverage may be available to you.
Medicare Advantage
Medicare Advantage is an “all in one” alternative to Original Medicare.
Medicare Advantage Plans are a type of Medicare health plan offered by a private company that contracts with Medicare to provide all your Part A and Part B benefits. Most Medicare Advantage Plans also offer prescription drug coverage. If you’re enrolled in a Medicare Advantage Plan, most Medicare services are covered through the plan. Your Medicare services aren’t paid for by Original Medicare.
Medicare Advantage Plans must cover all of the services that Original Medicare covers. However, if you’re in a Medicare Advantage Plan, Original Medicare will still cover the cost for hospice care, some new Medicare benefits, and some costs for clinical research studies. In all types of Medicare Advantage Plans, you’re always covered for emergency and urgently needed care.
Learn more about Medicare advantage plans by clicking below:
Medical Records Request
Medical Specialists of the Palm Beaches, Inc. keeps medical records for its patients and such accessibility to the records must be assured at all times.
To preserve and protect the confidential Protected Health Information within records, accessibility to records is restricted.
Patients may request a copy of their medical records (complete medical record or specific documentation) by sending the request via mail or fax. There will be a fee for costs related to processing a medical record request.
Please print and complete the Authorization to Disclose Protected Health Information form below AND:
(1) Upload through the Record Request Submission Portal (see below); OR
(2) Mail the Request; OR
Medical Specialists of the Palm Beaches, Inc.
Attention: Medical Records
7593 W. Boynton Beach Blvd., #220
Boynton Beach, FL 33437
(3) Fax the Request to: (561) 649-7028
Authorization to Disclose Protected Health Information:
- Authorization to Disclose Protected Health Information (Opens a PDF)
- Autorización Para Divulgar Iinformación Médica Protegida (Abre un PDF)
FEES
Pursuant to HIPAA 45 CFR, 164.524, we reserve the right to charge a reasonable cost-based fee for producing and delivering the copies.
At no time will the cost-based fees exceed FL law (395.3025 (1))
The Medical Specialists of the Palm Beaches has partnered with HealthMark Group to manage your medical record requests. HealthMark is a trusted partner that specializes in facilitating medical record release and keeping your personal health information safe.
How do I request my medical records? Enter your email below!
Once you enter your email, you’ll receive a secure link from HealthMark that will walk you through requesting your medical records. As soon as your request has been processed, you’ll receive another email from HealthMark with a link to securely download your medical records.
How long does it take to process requests? Many record requests are processed in as few as 8 business hours. So, one or two business days after you submit your request, your records will be delivered electronically – right to your inbox!
Need additional help? You can find a list of frequently asked questions as well as chat live with a HealthMark representative for additional help on Monday to Friday from 8 a.m. to 6 p.m. CT by clicking below: