Download the new patient packet
(male) (female)

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Download PDFTo download it, click here.

Boca Raton:
9970 Central Pk. Blvd.
Suite 207
Boca Raton, FL
Tel: 561-487-5506
Fax: 561-487-9261

Delray Beach:
4600 Linton Blvd.
Suite 240
Delray Beach, FL
Tel: 561-637-6061
Fax: 561-637-6093


New Patient Forms

Please download, print out, and complete the new patient packet (male) (female) before your first appointment.

Patient Information Forms

Current patients may wish to download read the following informational forms as applicable:

Please be sure to discuss specific concerns or questions regarding these forms with Dr. Disick or our staff.

Your Appointment

Please bring the following information to your appointment:

  • Your current insurance card
  • A list of your current medications (both prescription and over-the-counter), including your dose and frequency
  • Information pertaining to your medical and surgical history
  • Copies of X-rays, CAT scans, ultrasounds, or other imaging studies
  • Recent lab work related to your condition, such as blood tests, urine cultures, or PSA screening results
  • Completed patient forms
  • Photo ID
  • Your co-pay, as determined by your insurance carrier. We accept cash, Mastercard, Visa, and American Express. No Discover cards or personal checks. Please be aware that an additional $5 fee will be charged if you do not have your co-pay at the time of the visit.
  • There will be a $30 fee charged for a missed appointment not cancelled by the patient one business day prior to the visit.

Office Hours and Urgent Care

Office Hours are Monday through Thursday 8:30 - 4:30 pm, Fridays 9am - 1pm.

Urgent visits will be scheduled within 24 hours of the initial call. If an emergency occurs after business hours or on the weekend, please call the office and follow the prompts to leave a voice message that will be sent to the Physician On Call. Speak clearly and leave your name and phone number on the message. Please also disable any caller ID blocking features that you may have on your phone.

Insurance Information

We accept most major insurance plans, including:

  • Aetna HMO
  • Aetna PPO
  • AvMed
  • Blue Cross Blue Shield
  • CarePlus
  • Cigna
  • Coventry Care
  • Golden Rule
  • Humana Plans
  • Medicare
  • Summit Health Plan
  • United Health Care
  • Vista

Please call our office to confirm that we still accept your insurance provider as the above list can change. It is also recommended that you check your insurance plan's provider list to be sure it allows you to be seen in our office. Please be aware that your insurance plan may require a referral from your primary care provider.

Privacy Practice and HIPAA

Notice of our Privacy Practice can be downloaded here and is also available in the office.

Requests for Medical Records

As a state-of-the-art practice, our office is completely paperless. All medical records are electronic and completely secured with multiple levels of password protection to protect our patient's privacy. You may notice our physicians taking notes on small portable computers during your visit.

All medical records are the property of GRANT DISICK, M.D., P.A. With the exception of continuity of your medical care, we will not release any information to other physicians, insurance companies, attorneys or family members without your express written permission. A signed "Authorization to Release Medical Information" will be kept on file. We will provide information to your referring physician and other physicians. Other than emergencies, we will require a two week notice for fulfilling any medical record requests.