Caduceus


Patient Information



















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

Appointments

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.

PLUG-IN REQUIRED: To view the PDF documents above, you will need the Adobe Reader™ plug-in. If you do not have it already installed, a free version is available through the Adobe website. Download the Adobe Reader.

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

  • Medicare Part B
  • Aetna
  • BCBS
  • Cigna PPO
  • Florida Health Care - Triple Options (EPN) plan
  • Health First Health Plans
  • Humana PPO
  • Tricare
  • UHC (no Medicare advantage plans)


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
MAP