Allergy, Asthma and Immunology

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Dr. Paul F. Wubbena, Jr. M.D., P.A.

What to Bring on Your First Office Visit

Completed Medical History Form - DO NOT MAIL
Insurance Card
Picture ID
All current medications (prescripton and over-the-counter)
Referral (if needed)

VERY IMPORTANT: Primary Care Physician information is needed for two important reasons:
- to process insurance claims
- to send a summary of your evaluation and recommended treatment to your physician

  • Primary Care Physician's Address, Phone and Fax numbers

*Failure to bring the above necessary items will result in the rescheduling of your appointment.

For questions about your office visit for either office call: (904) 378-2880

 

pfwmd.com

Jacksonville Office: 5913 Normandy Blvd • Suite 1 & 2
Jacksonville Beach Office: 1375 Roberts Dr. • Suite 203
For either office call: (904) 378-2880

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©2007 Dr. P. F. Wubbena, Jr. M.D. P.A.