Patient Information

Dale R. Traficante, M.D., F.A.C.S., urologist, Daytona Beach, FL


Your time is valuable to me and I will do my best to stay on schedule. However, in medicine emergencies are not uncommon and sometimes a patient may require more time than was allotted for them. If this should happen I ask for your patience and understanding. I also ask that you contact us as soon as possible if you need to cancel or reschedule your appointment.

What to Bring to Your Appointment

  • Your insurance card
  • Physician referral forms, if required by your insurance provider
  • A list of medications, including the dose and frequency
  • Information about your medical and surgical history
  • Recent x-rays or other test results related to your condition
  • A comfortably full bladder

Practice Forms

For your convenience, forms for your appointment are available online to complete in the convenience of your own home. If this is your first visit with us, please print and complete the forms below. Please fax completed forms to our office or bring them with you to your scheduled appointment.

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Affiliated Hospitals

Dr. Traficante is affiliated with the following hospitals:

Billing Policy

As a courtesy, our office will bill your insurance company for you, however, please remember that patients are ultimately responsible for their own medical bills and we appreciate your cooperation in this regard. We collect all co-payments, co-insurance and deductibles at the time of service. If you have no insurance, payment in full at the time of service is expected and customary. Please feel free to call our office if you have any questions or concerns regarding your bill.

Participating Insurance Companies

United Health Care

  • Choice
  • Choice +
  • IDeal
Medicare Part B
Blue Cross Blue Shield
  • PPC Preferred Patient Care & PPO = Blue Choice
  • PPS
  • Traditional
  • Federal
  • State Employee Plan
  • Out of State Contracts (i.e. Empire Care NY)
  • Health Options (5 visits per year)
  • Point of Service (needs referral)
  • Walmart BCBS (needs referral)
  • Publix (needs referral)
  • Care Manager (needs referral)
Florida Memorial Health Network
  • Beechstreet
  • Robey-Barber
  • Sun Health
Health Partnership Plan A&B
  • County of Volusia
  • DBCC
Health Partnership Plan B
Volusia Health Network (VHN)
  • American Medical Security
  • American Heritage Life
  • Bert Fish Medical Center
  • City of Port Orange
  • ERAU
  • Florida Health Choice/ BEACON
  • Halifax Health Plan
  • Hudson Tool & Die
  • International Speedway Corp.
  • News-Journal
  • Brown & Brown
  • Poe & Brown (most plans)
Aetna PPO /HMO
Humana PPO
Florida- Health Care PPO
Cigna PPO
PHCS (Private Health Care Systems)
Great West
First Health

Dale R. Traficante, M.D., F.A.C.S.
Twin Lakes Medical Center
1890 LPGA Blvd., Suite 220
Daytona Beach, FL 32117
Tel: 386.274.5757
Fax: 386.274.1992