Referral Coordinator:

Download necessary documents:


Release of Medical Record Forms:

Record Release for Patient Pick up at GR


download file

Download

Record release to Gateway Rep

 

download file
Download

HIPAA Compliant Authorization


download file

Download

Authorization To Use and/or Disclose Medical Records

 

download file
Download


Financing Available:

Click the link below to learn more about our Financing Options:

Care Credit


Online Bill Pay:

Click the link below to use our online payment portal:

Pay Now

Review our Self Pay price list


Insurance Accepted:

Unable to obtain authorization list here

  • Auto Insurance
  • Accountable
  • Advantra
  • Aetna (No Better Healthy)
  • Ambetter Sunshine / Allwell Sunshine – (MRI/CT/PET Only – No Low Dose CT Chest)
  • Assurant Health
  • Avmed
  • Beech Street
  • Bcbs – No Alignment
  • Careplus
  • Care Iq
  • Ccn
  • Cigna – No Baycare Network
  • Champa Va
  • Childrens Medical Service (Cms)
  • Coventry – No Healthy Kids
  • Cypress Care
  • Devon
  • Devoted Healthcare
  • Evolutions
  • Focus Healtcare
  • First Health
  • Freedom Health
  • Ghi Primary & 1st Health Network
  • Great West – No Baycare Ntwrk
  • Hospice
  • Humana – No Medicaid
  • Igs Health Services
  • Independent Med Systems
  • Interplan
  • Integrated Health Plans
  • Lhi
  • Magellan (No Echo)
  • Mailhandlers
  • Mdia
  • Medfocus
  • Medicaid – Fl Only
  • Medicare
  • Med Link
  • Multiplan
    (No Baycare Network * Other Exclusions)
  • My Matrixx
  • Occunet Network
  • Orchid Medical
  • Optimum
  • Oxford
  • Plan Vista Solutions
  • Pmsi
  • Phx- Premier Health Exchange
  • Prime Health Services
  • Private Health Care Systems
  • Railroad Medicare
  • Staywell
  • Sunshine Medicade (MRI/CT/PET Only – No Low Done CT Chest)
  • The National Radiology Ntwrk
  • Tricare
  • United Health Care (Uhc)
    ***No Uhc Medicaid***
  • Usa Managed Care
  • Us Dept. Of Labor / Wc
  • Vocational Rehabilitation
  • Wellcare
  • Workers’ Compensation