Patient Resources

First Appointment – Materials to Bring

At your first appointment, please bring the following:

  • Any pertinent medical records
  • Lab reports and a copy of your sinus CT scan or MRI
  • Please bring a copy of the scan on a CD if possible; we prefer to review the actual scan rather than read a report.
  • Your health insurance card.
  • Please fill out our New Patient form, as this helps us identify the pertinent information related to your care. You can download the form from our website, fill it out at home and bring it to your appointment, or you can come a few minutes early to your appointment and complete the form in our office.

Office Forms

If you are seeing Dr. Bolger as an initial visit at North Florida Sinus Center, please print out this form, fill it out and bring it to your appointment. Alternately you can come to your appointment a few minutes early and fill it out in our office. Please don’t Fax or email the form to us.

New Patient Form - Dr. Bolger

If you are seeing Dr. Naseri as an initial visit at North Florida Sinus Center please print out this form, fill it out and bring it to your visits. You also can type on the form and print it out. Alternately you can come to you appointment a few minutes early and fill it out in our office. Please don’t Fax or email the form to us.

New Patient Form - Dr. Naseri

Please take a moment to read our Patient Privacy Notice and our Financial and Treatment Consent forms.

Privacy Practice Form

Financial and Treatment Consent

First Appointment – What to expect

When you first arrive, our office staff will greet you and check you in. They will ask you to complete paperwork. Some of this paperwork will help us take better care of you, some is required by insurance companies and the government.

During the check in process we will make a copy of your insurance card, accept any copayments and ask if we can take a picture of you to attach to your electronic medical record file. This picture is very helpful in terms of patient safety, as it helps us link you to your records. This is especially helpful when we speak with you on the phone, consulting with your other doctors, and immediately before procedures.

Our staff will escort you to an exam room to review your basic medical history, reason for visit and prior treatments. Dr. Bolger or Nasari will greet you and begin the evaluation with a conversation about your medical history. He will perform a general ear, nose and throat examination. It is likely that they will recommend a more detailed examination, called endoscopy, which is described below.

Sinonasal Endoscopy

As part of your evaluation, Dr. Bolger or Naseri may decide an endoscopic examination is indicated. This is a common practice to evaluate the nasal and sinuses. The endoscope is a thin flexible plastic or metal tube containing a fiberoptic light element that illuminates the nasal cavity, magnifies structures, and allows visualization deep within the sinonasal cavity. The exam is usually not painful and is well tolerated by most patients.

To prepare for the examination, our staff will spray two medications into your nose. The decongestant oxymetazoline (Afrin), which opens the passage allowing more room for the scope to pass within the nose, and a topical anesthetic (lidocaine) to prevent discomfort or sneezing. It is difficult to flavor the medications so you may experience a bad taste when the spray reaches the back of the nose and palate. Fortunately, this lasts for a few minutes.

Sinonasal endoscopy is well tolerated by most patients. Our bodies are designed to tell us if there is something foreign in the nose, and most patients can feel the endoscope, often as an odd feeling or a tickling sensation. If you experience pain, the doctor will stop and readjust to relieve any discomfort.

Should an abnormality be noted during the exam, a small intervention may follow. For example, if infection is noted in a sinus, a small sterile collection device can retrieve a sample for microbiologic analysis. This information helps determine the appropriate antibiotic.


Billing and Insurance

We would like to accept most major insurance plans.  We have applied for, and are awaiting approval from, several. We are currently approved to participate in these plans below.

  • Florida Blue (all products except Blue Select)
  • Blue Cross Blue Shield of Florida 
  • Tricare Select
  • Care Plus
  • Cigna
  • Beech Street
  • Medicare
  • MultiPlan
  • PHCS
  • United Healthcare
  • Aetna
  • Humana

If we do accept your plan, please understand that your insurance company requires us to collect copayments when services are rendered. We can provide an itemized receipt acknowledging your payments.

If your plan isn’t on our list, we are available to see you as an “out of network” physician and will try to accommodate with a reasonable fee.

To reduce administrative costs and overhead, our small medical practice is partnering with Ear, Nose and Throat Associates of South Florida (ENTSF). Therefore, your insurance claims will be administered by ENT-SF. Please do not be confused if your see ENTSF on your statements. If you have any questions in this regard, please call our office at 904-595-7475.

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