Your First Visit
Your first visit to Jeffrey Alper, M.D., PA involves a few special steps so that we can get to know you. To understand what to expect, please read through this page. You’ll find all the practical information you need, such as a map and directions to our office(s), practice hours, payment policies and more. We also describe our first visit procedures. You can even save some time by printing out and completing the new patient forms in advance of your appointment.
Mission Statement
Our practice is working together to realize a shared vision of uncompromising excellence in medical care.
To fulfill this mission, we are committed to:
Patient Forms
If you’re a new patient, please complete the following forms and bring them to your first appointment.
If you would like our team to coordinate care with another physician practice please complete the form below to authorize the release of your medical record or the authorization for another physician practice to disclose information to us:
- Release of Medical Record Information Form
- Authorization to Disclose Information Form
- HIPAA Authorization Form
In order to view or print these forms, you will need Adobe Acrobat Reader installed. Click here to download it.
What to expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familarize yourself with the doctors. We look forward to your first visit.
Appointments
We know you have many choices when choosing a doctor in Naples, FL, so we have made requesting an appointment a simple process via our Web site. If, for any reason, you cannot keep a scheduled appointment or will be delayed, please call as soon as possible. Charges may be incurred for appointments cancelled less than 24 hours before scheduled appointment time.
Payment Policies
We accept checks, cash or credit cards. We also offer a flexible payment plan. Please see our Financial Coordinator for details.
Insurance and Billing
We accept most traditional insurance plans. Please contact our office to verify acceptance of your plan. Qualifications for insurance coverage may differ due to the uniqueness of each procedure.