Services/Patient Forms

family medical servicesInternal/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?

Florida hospital eastFlorida Hospital East
7727 Lake Underhill Drive
Orlando, FL 32822
Walking Distance rom the Medical Office

Patient Forms: These are forms that need to be completed before you can be treated. They allow us to provide you with quality care, minimize billing problems and meet regulatory requirements. Completing the forms before your arrival will also help us see you quicker. Please click on the links below to download each form as a .pdf file.

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.

Print Version Print Version       Send to a friend Send to a friend      

Contact Information

Michael K. Dapaah M.D., P.A.  

506 S. Chickasaw Trail
Suite 200
Orlando, FL 32825

Phone: 407-282-9390
Fax: 407-282-9379

Business Hours:
Monday-Friday 8 a.m.-11:45 a.m.
and 1 p.m.-4:45 p.m.

We accept Visa. We accept MasterCard. We accept Discover.