CardinMed

Patient information and requests.

New Patient

Becoming A New Patient

We accept most major insurance carriers, including Medicare. We do not accept Medicaid, which includes Sunshine Health. Please contact your individual insurance provider or your employer’s human resource department to confirm your in network benefits. CardinMed, Dr. Jennifer Bartczak should be listed as “in network”, otherwise you may incur higher costs, than anticipated. Please do this before completing the following online form below.

If you submit this form, we will contact you as soon as possible to schedule your first appointment. New patient appointments are typically scheduled 2 – 3 weeks out. If you are unable to complete the application online, please contact the office at (phone number coming soon) to coordinate the application.

Your first initial visit is for our physician to become acquainted with you, for you to discuss your needs, and discuss your medical history and family medical history, if any. If you need an Annual Physical Exam, you may schedule this after you have completed your initial visit, unfortunately it cannot occur during your first visit.

FIRST APPOINTMENT: Please come at least 15-30 minutes early.

REQUIRED:

We need a physical insurance card to scan for your chart- no temporary or paper cards.

“wellness visits/physicals” are not done on the first visit, they are ONLY done on your follow-up visit after you’ve established care and had labs.

Please fill in the form and submit it to get started.

Every field is required unless it is marked optional.

Payment
Patient

What you would like us to call you.

Anything that would make your visit easier, such as mobility or hearing support.

Contact
Phone 1 Type (optional)
Phone 2 Type (optional)
Care

If you are transferring care from another physician's office, please include that here too.

Primary Insurance

The plan name matters: we cannot accept every plan.

Secondary Insurance