Michael K. Dapaah, M.D., P.A. – Services/Patient Forms

The Right Kind of Care for You and Your Loved Ones - Dedicated * Compassionate * Affordable

407-282-9390

The Right Kind of Care for You and Your Loved Ones - Dedicated * Compassionate * Affordable

407-282-9390

Services/Patient Forms

Internal/Family Medicine

Family medicine is the medical specialty that provides continuing and comprehensive healthcare for the individual and the family. The scope of family medicine encompasses all ages, both sexes, each organ system and every disease entity.

Dr. Dapaah specializes in treating numerous illnesses including, but not limited to, the following:

Diabetes
Hypertension
Chronic Heart Disease
Osteoarthritis And Osteoporosis
A State-Of-The-Art Bone Density Machine For Osteoporosis

Our state-of-the-art bone density machine allows us to provide total body mass index (BMI) of those patients starting a weight program.

Types of Insurance

We accept over 2,000 insurance types, including the following:

Aetna
Amerigroup
Av Med
Blue Cross Blue Shield
Cigna

Florida Hospital Health Service (FHHS)
Medicaid
Medicare
Tricare
United Health

What Hospital Is Close to The Medical Office?

Registration Form: This form provides us with basic information such as your name and address. It also provides information and authorization for billing your health insurance plan if applicable.

Authorization to Discuss Medical Care: We often get calls from individuals such as family members wanting to discuss a patient's care. Completing this form will help us respect your wishes concerning these requests.

Health History: This form provides basic health information about you such as current medical problems, past medical problems, current medications and family medical history. This information is important for us to be able to provide the best medical care for you.

Acknowledgement Form: We are required to have you sign a form that acknowledges that we have provided you information about advance directives and a copy of our Notice of Privacy Practices.

Patient Self Determination Act Questionnaire: Please download.

Financial Policy: Please read this information carefully so there is no misunderstanding about your responsibilities for assuring payment for the services we provide.

You will need a program capable of reading Portable Document Format (.pdf) files. You can download one for free here.