📍 Serving Tampa Bay Area
📍 Located in Plant City, FL
📞 Consultation: (813) 938-6627
Patient Resources
Downloadable Forms
Prepare for your visit by downloading and completing the appropriate forms before your appointment. Bring your completed forms, a photo ID, insurance card, current medication list, and any relevant medical records or imaging reports.
New Patient Packet
Provide your medical history, current symptoms, medications, and other information needed for your initial evaluation.
Medical Records Release Authorization
Authorize the release or exchange of your medical records with another healthcare provider or designated recipient.
Office Policies and Patient Responsibilities
Review our appointment, cancellation, billing, and practice policies.
Need help completing a form? Contact New Day Pain & Wellness at (813) 938-6627. If you cannot complete your paperwork in advance, please allow additional time before your appointment.
Please submit completed forms containing personal or medical information only through an office-approved secure method or bring them to your visit.
Preparing for Your Appointment
A little preparation helps us make the most of your visit.
What to Bring
- Photo ID and insurance card
- Completed patient forms, if available
- Current medication list, including doses, supplements, and over-the-counter medications
- Relevant medical records, including prior pain treatments and procedure reports
- Imaging reports and images, if available, such as MRI, CT, or X-ray studies
- Referral or insurance authorization, if required by your plan
- Accident and claim information, if your visit relates to an injury
Before Your Visit
Think about when your pain began, what makes it better or worse, and how it affects your sleep, work, movement, and daily activities. Write down your questions and the goals you would like to discuss with Dr. Ayala.
Please arrive early enough to complete any remaining paperwork.
If You Are Scheduled for a Procedure
Follow the specific instructions provided by our office regarding medications, eating and drinking, and transportation. Contact us before making changes to your medications, especially blood thinners. If sedation is planned, confirm your transportation arrangements with our team.
Questions or Scheduling Changes?
Call New Day Pain & Wellness at (813) 938-6627 if you need assistance preparing for your visit or rescheduling your appointment.
Insurance Information
Understanding your coverage can help you prepare for your care. Contact New Day Pain & Wellness before your appointment to confirm whether we participate with your specific insurance plan.
Before Your Visit
- Have your insurance card and photo ID available.
- Confirm any referral requirements with your insurance company.
- Notify our office of changes to your coverage.
- Review your deductible, copayment, and coinsurance responsibilities.
Referrals and Prior Authorization
Some insurance plans require a referral for specialist visits or prior authorization for procedures. Our team can help identify these requirements and submit supporting clinical documentation when needed. Authorization does not guarantee payment or eliminate your share of the cost.
Costs and Payment Questions
Your out-of-pocket costs depend on your plan and the services provided. Some procedures may involve separate facility or anesthesia charges. Contact our office to discuss anticipated charges, self-pay options, or billing questions before treatment.
Accident-Related Visits
If your visit involves a motor vehicle accident or another injury claim, please provide available insurance, claim, and attorney information before your appointment so we can review billing arrangements.
Questions About Your Coverage?
Final coverage and benefit determinations are made by your insurance company.