Rowan Tree Medical, P.A.

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Insurance

We accept most major insurance carriers, including Medicare. Please contact your individual insurance provider or your employer’s human resources department to confirm in-network benefits. Rowan Tree Medical, Jennifer Bartczak, or Myron Davidson should be listed as "in-network" providers. At this time, we do not accept Medicaid.

If you would like to become a new patient at Rowan Tree Medical, please verify in-network benefits with your insurance provider and then complete the following online form. If you submit this form, we will contact you to schedule your first appointment. If you elect to print paper forms instead, please do so below and contact the office at (954) 533-5382 to make your first appointment.

    New Patient Submission Form

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    MM/DD/YYYY Format
    List any special needs such as wheelchair access, hearing, or sight impaired.
    Why are we asking this? Federal mandates of HIPAA 2.0 require that we collect this information for reporting purposes.
    Why are we asking this? Federal mandates of HIPAA 2.0 require that we collect this information for reporting purposes.
    Examples include: wellness, physical, illness, chronic disease.
    If private pay, enter 'CASH'.

GoDaddy

If you elect not to use the online form, please print the following 5 forms and call the office for scheduling. Complete the forms and bring them to your first appointment. Verify that we are in-network with your insurance provider.

New Patient Intake Form
Notice of Privacy Practices
Consent for Treatment
Assignment of Benefits
No Show Agreement