Appointments & Physician Referrals

If you are a patient and have a question regarding making an appointment and referral, please contact us at (813) 757-1280.

Referral Requirement
A referral is required from your primary care physician, surgeon or specialist to receive treatment for wound care and hyperbaric oxygen therapy.

Physician Referral Form
Please click the above link to print the form and have your physician, surgeon or specialist complete the form and fax it to (813) 757-8521 with the prescription. We will then contact you to set up an appointment . 

Prescription Requirement
It is BayCare policy to require a prescription for all services rendered. A prescription can be obtained from your primary care physician and/or specialists, depending on the insurance. Most insurance requires direct referral from your primary care physician.

The prescription must include the following information:

  • Diagnosis (ICD-9 code if available)
  • Reason for Referral (e.g. Wound Care Evaluate & Treat, HBO Evaluation & Treatment)
  • Dated within 30 days
  • Physician signature

For more information, contact our Patient Access Service Representative at (813) 757-1280.

Insurance Requirements
We accept most insurances that are contracted with South Florida Baptist Hospital. Most insurances require authorization prior to treatment.

Medicare
Straight Medicare insurance requires a prescription for the service to receive wound care and hyperbaric treatment. No additional authorization is needed to receive services but the service must be medical necessary to meet Medicare guidelines.

Medicare Replacement/HMO
A separate authorization is required from the insurance carrier to begin services. Contact our Patient Access Service Representative for more information at (813) 757-1280.

Hillsborough County Health Care
A separate authorization is required from the insurance carrier to begin services. Contact our Patient Access Service Representative for more information at (813) 757-1280.