Contact Us

Patients First Family Medicine

11663 Countryway Boulevard
Tampa, FL 33626
813.891.6310

Patients First Map

Click here for driving directions

Deena Hartless, Office/Spa Manager dkh@alluremedspas.com
Our email for refills is refills@patients-first.com
For Receptionist Questions appointment@patients-first.com
Manager of Medical Operations Debbie@patients-first.com
Cara Riccio, Medical Supervisor cara@patients-first.com
Office Manager manager@patients-first.com
**Please note that email is not a secure form of communication according to the HIPAA privacy act, and specific questions related to your health can not be guaranteed to be secure.


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Patients Portal

Appointment Request
For established patients only.
*Name:
*Email:
*Phone:
*Reason for appointment:
*DOB:
*Provider:
*Date Requested:
Time Requested:
Comments:
*Required Field
Prescription Refills
3 days are required to process refill requests!
If multiple refills needed, please use separate requests.
*Name:
*Email:
*Phone:
*DOB:
*Medication name, dose, and frequency taken:

30 day or 90 day refills?
30 Day 90 day *Pharmacy name:
*Pharmacy phone:
Comments:

*Required Field
Referrals
*Name:
*Email:
*Phone:
*Date of birth:
*Reason for referral:
*Specialist name and specialty:
*Specialist phone:
*Specialist fax:
*Date of appointment:
*Insurance company:
*Insurance group number:
*Policy number:
*Required Field
Billing
*Patients Name:
*Email:
*Date of birth:
*Contact number:
Questions:
*Required Field
Questions/Comments
*Name:
*Email:
*Contact number:
Question:
*Required Field