Patient Information

Hospital Affiliation

Dr. Berckes is affiliated with Florida Hospital Waterman, Tavares, FL.

Your First Appointment

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records
  • Any forms that may be required

[ PDF help ]

Patient Materials


These packets are for patients who are new to the practice and contain all necessary forms.

Insurance and Payment Information

Florida Pain Management Center is a provider for Medicare and most Blue Shield/Blue Cross programs, and provides insurance billing. All deductibles and co-payments must be paid at time of visit. Payment may be made with cash, check, Visa, Discover, and MasterCard. If you have questions regarding billing or which insurance plans we accept, please contact us. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

Privacy Practices

Our Notice of Privacy Practices describes how medical information about you may be used and disclosed and how you can get access to this information. It is given to all new patients, and a copy is available upon request.

A copy of our Notice of Privacy Practices will soon be posted on this website.