Palms Medical Group Florida 2026: Locations, Portal & Low-Cost Care

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North Florida patient guide · Appointments, affordable care, portal and referrals

Find the Right Palms Clinic, Service and Payment Help Before You Travel

Palms Medical Group is a nonprofit community health provider serving patients across North Florida. Its locations provide primary care and selected dental, pediatric, behavioral health, prenatal, pharmacy, chiropractic, X-ray and laboratory services.

This guide brings the important patient instructions into one place: how to choose a location, request a same-day appointment, use the NextGen portal, apply for sliding-fee discounts, verify insurance, refill medication, track a referral and request medical records.

Request an appointment Open patient portal Choose your care path
Possible emergency? Call 911 or go to the nearest emergency department for chest pain, severe breathing difficulty, possible stroke, severe bleeding, loss of consciousness, a serious injury or another condition that may threaten life or permanent function.
Care region

Multiple medical centers across North Florida.

Main number

1-888-730-2374

After-hours nurse

352-505-2854

Uninsured care

Sliding-fee assistance may be available.

Portal system

NextGen patient portal.

Start with the correct option

Which Palms Medical Group service solves your problem?

ROUTINE OR SAME-DAY CARE You need a clinic appointment

Choose family medicine or pediatrics for preventive visits, common illness, medication follow-up, chronic-condition care and referrals.

Start with: your preferred Palms location, online appointment request or main scheduling number.
COST OR INSURANCE HELP You are worried about payment

Ask for a Patient Advocate Coordinator or Financial Services Specialist. Uninsured patients may apply for an income-based sliding fee.

Prepare: household size, income documents, insurance information and the completed signed application.
URGENT OR EMERGENCY Your symptoms may be serious

Do not wait for an online request or portal reply when symptoms could be dangerous.

Call 911 for an emergency. Use the after-hours nurse only for non-emergency guidance.
Fast decision rule: Contact your local Palms clinic for routine and same-day outpatient needs, the financial team for payment help, the after-hours nurse for non-emergency advice outside regular hours, and 911 for a life-threatening emergency.

Go directly to the patient task you need

The useful rules and steps are explained below. Official portals are reserved mainly for the final appointment, portal, form or payment action.

Community health care

What Palms Medical Group is and who can receive care

Palms Medical Group is a nonprofit health-care organization and federally supported community health center serving North Florida. It operates as a Patient-Centered Medical Home, meaning a regular provider and care team help coordinate preventive, routine and ongoing health needs.

Patients with insurance

Palms accepts Medicare, Medicaid, numerous Medicare Advantage products and many commercial insurance plans.

Patients without insurance

Uninsured patients can receive care and may qualify for an income-based sliding-fee discount.

Families needing several services

Selected centers combine medical, pediatric, dental, behavioral, pharmacy, laboratory and other care.

Important access policy: Palms states that no one is denied medical care because of a lack of insurance or income. This does not mean every service is free. Ask for the expected patient charge before treatment.
Patient-Centered Medical Home tip: Tell your Palms provider about emergency visits, hospital stays, outside specialists and new prescriptions. Outside care does not always reach your primary-care record automatically.
North Florida centers

Palms Medical Group locations and service areas

Palms currently lists 12 medical-center areas. Not every center provides every service, and pharmacy, dental, pediatric or weekend hours may differ from the main clinic schedule.

Bell

Gilchrist County-area medical center.

Branford

Suwannee River-region care location.

Chiefland

Levy County-area services.

Fleming Island

Clay County-area medical services.

Gainesville

Alachua County-area care.

High Springs

Medical, pediatric, laboratory and pharmacy services.

Lake City East

Columbia County-area medical center.

Lake City West

West Lake City patient services.

Live Oak

Suwannee County-area location.

Starke

Bradford County-area services.

Trenton

Gilchrist County-area care.

Williston

Eastern Levy County-area location.

Confirm these five details before driving

The location offers the exact service needed
The selected provider works at that location
The office accepts new patients
Your exact insurance product is accepted
The clinic, lab, dental or pharmacy hours are correct
A referral, order or prior authorization is not missing
Local insider tip: A Palms medical office and its pharmacy may have different lunch, evening or weekend schedules. Confirm the pharmacy closing time separately when you expect to collect medication after your appointment.

High Springs extended-hours example

High Springs published clinic and pharmacy details
Service Address or contact Published schedule
Medical center 16916 NW US Highway 441, High Springs, FL 32643
386-454-0568		 Monday-Friday 8 a.m.-5 p.m.; Saturday 8 a.m.-6 p.m.; Sunday noon-4 p.m.
Pharmacy 386-799-2050 Monday-Thursday 8:30 a.m.-5:30 p.m.; Friday 8:30 a.m.-noon and 2-5:30 p.m.; Saturday 8 a.m.-6 p.m.; Sunday noon-4 p.m.
Check live location services and hours
Appointment workflow

How to schedule a Palms Medical Group appointment

Choose the service before the location Decide whether the patient needs family medicine, pediatrics, dental care, behavioral health, prenatal care, chiropractic treatment, laboratory work, X-rays or pharmacy help.
Find a center that provides that service A nearby Palms office may not offer the department you need. Check the individual location page before scheduling.
Request the appointment Use the official online appointment system or call the preferred location. Palms advertises same-day appointments, but availability is not guaranteed.
Give the complete insurance name Read the plan and network name from the insurance card rather than giving only the insurance-company name.
Ask about financial assistance immediately Uninsured or underinsured patients should ask for a Patient Advocate Coordinator or Financial Services Specialist before the visit.
Confirm arrival requirements Ask when to arrive, which forms are needed, what identification to bring and what payment is expected at check-in.
Save the exact address and phone Record the center name, provider, suite, appointment time and direct office number.
Appointment call script
“I need an appointment for [reason]. I am a [new/existing] patient. My insurance is [full plan and network], or I am uninsured. Which Palms location provides this service, is a same-day appointment available, what documents should I bring, and what amount should I expect to pay?”
Submit an appointment request Call 1-888-730-2374
Avoid check-in delays

What to bring to your first or next Palms appointment

Government-issued photo identification
Current insurance and pharmacy cards
Household-income proof for sliding-fee review
Completed signed patient forms when requested
Medication bottles or a complete medication list
Allergy and adverse-reaction information
Outside test results and specialist records
Referral or authorization when required
Vaccination records for pediatric or school care
Questions written in priority order
1
Describe the timeline

Write when the problem began and whether it is improving, worsening or returning.

2
List treatment tried

Include prescription drugs, over-the-counter products and home treatments.

3
Know your pharmacy

Bring the exact pharmacy name, location and telephone number.

Helpful shortcut: Photograph the front and back of current insurance cards and keep a typed medication list on your phone. This can prevent missing information when the physical documents are unavailable.
Care available

Palms Medical Group services explained in plain English

Services, typical uses and questions to ask
Service Common patient needs Confirm before scheduling
Family medicine Preventive visits, common illness, medication management and long-term health conditions. New-patient availability and whether the provider manages your specific condition.
Pediatrics Child wellness visits, illness care, development and vaccination-related services. Accepted ages, vaccine records and school or sports forms needed.
Dentistry Preventive and other dental care available at selected centers. Location, dental history form, insurance and sliding-fee eligibility.
Behavioral health Assessment and ongoing support for mental and emotional health needs. Appointment type, privacy, insurance coverage and crisis alternatives.
Prenatal care Pregnancy-related monitoring and care at participating locations. Pregnancy stage, outside records, laboratory needs and hospital coordination.
Chiropractic care Evaluation and treatment for selected musculoskeletal concerns. Required forms, clinical suitability and insurance visit limits.
Laboratory Diagnostic testing ordered by a medical provider. Fasting, order status, specimen timing and location hours.
X-rays Imaging for selected injuries and medical concerns at participating centers. Order, authorization, pregnancy precautions and result follow-up.
Pharmacy Prescription filling and refill support at Palms pharmacy locations. Location, medication stock, closing time and discount eligibility.
Behavioral-health emergency: Call 911 when there is immediate danger. In the United States, call or text 988 for the Suicide & Crisis Lifeline when someone is experiencing a mental-health, suicide or substance-use crisis.
NextGen patient access

What the Palms Medical Group patient portal can do

Rx
Request refills

Submit routine medication-refill requests securely.

M
Review medications

See the medication list recorded in the patient account.

L
Laboratory results

Review results made available through the portal.

X
Imaging results

View available imaging information and reports.

V
Visit records

Open and print a record of office visits.

24
Anytime access

Use a web-enabled device after completing registration.

Portal setup process

Give Palms a working email address The email must be correctly entered in the patient account.
Look for the NextGen invitation Existing patients may need to register again if the organization has moved them to the newer portal system.
Create a private password Do not share the patient’s login with family members. Ask about authorized dependent or proxy access instead.
Check identity details Ensure the name, date of birth, phone number and email match the information in the Palms account.
Do not use the portal for an emergency. Portal messages and refill requests may not be reviewed immediately.
Sign in to the NextGen portal Portal help: 1-888-730-2374
Troubleshooting

What to do when the Palms portal is not working

No invitation email Check spam and junk folders, then ask Palms to confirm the exact email address stored in the patient account.
The invitation expired Contact Palms and request a new NextGen registration invitation.
A result is missing The test may still be pending, awaiting provider review or unavailable electronically. Contact the ordering location.
A medication is missing Ask the clinical team to verify the active medication list rather than submitting repeated refill requests.
Dependent access is unavailable Ask Palms about the correct proxy-access process. Do not create an account using false identity information.
Old records are incomplete Submit a formal medical-record request for information not available in the portal.
The portal asks for unexpected payment Confirm the organization, patient name and service date before entering card information.
Your medical concern is urgent Call the clinic, after-hours nurse, 911 or emergency department based on the seriousness of the symptoms.
Coverage verification

Insurance accepted by Palms Medical Group

Palms accepts numerous Medicaid, Medicare Advantage and commercial plans. An insurance-company name alone does not guarantee that the exact product, provider or service is in network.

Insurance categories listed by Palms Medical Group
Category Plans publicly listed Important warning
Medicaid Humana Medicaid, Wellcare Medicaid, UnitedHealthcare Medicaid and Sunshine Medicaid. Provider assignment and managed-care rules may affect coverage.
Medicare Advantage Humana Medicare, Blue Medicare, Medicare Complete Choice/AARP, Aetna Medicare, UnitedHealthcare Medicare and Wellcare Medicare. Palms says patients remain responsible when a claim processes out of network or incorrect plan information is supplied.
Commercial insurance Aetna, AARP, AvMed, BCBS/My Florida Blue, Cigna, Humana, UMR and UnitedHealthcare. Ask about the exact network, provider and location.
Other plans Palms states that it accepts many additional insurance products. Contact the local office before treatment for a plan not shown above.
Show the insurance card before every visit
Report any coverage change immediately
Confirm the provider is in network
Confirm the location is in network
Ask whether prior authorization is required
Ask which services insurance excludes
Medicaid example: Palms notes that sports physicals are an example of a service Medicaid may not pay for. Ask whether the requested visit is a covered medical service before arriving.
Insurance verification script
“My plan is [full plan and network], member ID [number]. I will see [provider] at [Palms location] for [service]. Is the provider and location in network? Is the service covered, and do I need a referral or prior authorization?”
Check the current insurance list Email a financial counselor
Income-based discounts

How the Palms Medical Group sliding fee program works

The sliding fee scale is designed for eligible patients who need help paying for Palms services. Qualification is based mainly on household income and family size compared with current federal poverty guidelines.

Services that may be discounted

Medical visits, laboratory work, dental care, behavioral health and qualifying prescriptions at Palms pharmacy locations.

What usually is not covered

Services performed by an outside specialist generally are not covered by the Palms sliding-fee grant.

Where to submit

The application must be printed, completed, signed and returned to the patient’s preferred Palms location.

Application workflow

Download the correct language version Palms publishes sliding-fee applications in English, Spanish and Haitian Creole.
Complete every household field List the family members and household circumstances requested on the current application.
Collect current income documentation Bring the proof requested by the form. Ask the financial specialist what alternatives are accepted when normal income documents are unavailable.
Print and sign the application Palms specifically instructs patients to return a printed, signed application to a preferred location.
Ask which services the discount covers Confirm medical, dental, behavioral, laboratory, pharmacy and outside-specialist costs separately.
Ask when eligibility must be renewed Income, household size and federal guidelines can change. Keep copies of the application and approval information.
Do not assume the specialist will honor the Palms discount. Palms explains that a patient using its sliding-fee program may be considered self-pay at an outside specialist’s office.
Financial-assistance script
“I am uninsured or having difficulty paying. I would like to apply for the sliding fee program. Which income documents should I bring, which household members must be listed, what fee level may apply, and will the discount cover the exact service, laboratory test or prescription I need?”
Download sliding-fee application Contact financial counselor
Uninsured and self-pay costs

Palms Medical Group fee levels and Good Faith Estimates

Palms publishes a general fee scale for uninsured and self-pay patients. The amount can change based on household income, family size, service type, medication, immunization and complexity of care.

General Palms self-pay fee scale
Level General patient responsibility What it means
A $20 nominal charge Lowest published fee level for qualifying patients.
B $30 Income-based patient responsibility.
C $40 Income-based patient responsibility.
D $50 Income-based patient responsibility.
E Full prevailing fee No sliding-fee discount is applied.
This table is not a total-price guarantee. Tests, vaccines, medications, dental treatment, laboratory work and other services may add charges. Ask for a written Good Faith Estimate for the planned care.
Tell the scheduler you are uninsured or self-pay This helps Palms explain the fee scale and financial-screening process.
Describe every expected service Include the visit, testing, vaccine, procedure, dental work, medication or other likely charge.
Ask for the estimate in writing A telephone estimate may be general because income, family size and clinical complexity may not yet be fully known.
Compare the bill with the estimate Check whether additional services were performed and ask for an explanation of every difference.
Review the current estimate policy
Payment help

How to review and pay a Palms Medical Group bill

Check the patient and service date Make sure the statement belongs to the correct family member and appointment.
Compare insurance processing Match the bill with the insurer’s explanation of benefits. An explanation of benefits is not itself a bill.
Review adjustments and patient responsibility Identify the amount billed, insurance payment, contractual adjustment and final patient balance.
Question unexpected charges Ask whether insurance information, sliding-fee status or service coding must be corrected.
Pay through an approved method Palms accepts Visa, MasterCard, American Express and Discover and provides portal payment access.
Billing call script
“I am reviewing the charge for [service date]. Please explain the original charge, insurance payment, adjustment, sliding-fee discount and patient balance. Does the account need updated insurance or income information before I pay?”
Review or pay through portal Ask a financial counselor
Medication workflow

Palms pharmacy locations and prescription refills

Palms operates pharmacies at selected centers. The official online refill form is intended only for prescriptions currently filled through a Palms Medical Group pharmacy.

Using a Palms pharmacy
  • Use the prescription number printed on the current container.
  • Enter the prescription holder’s name and current contact information.
  • Submit the request before the medication runs out.
  • Contact the pharmacy for a new prescription or urgent supply question.
Using an outside pharmacy
  • Contact that pharmacy directly for routine refills.
  • Ask it to send a renewal request to the prescribing office when needed.
  • Confirm that Palms has the correct pharmacy location.
  • Allow extra time for prior authorization.
Medication name and strength
Prescription or RX number
Directions printed on the bottle
Remaining doses
Correct pharmacy location
Current telephone number
A refill may require more than a request. The provider may require an appointment, laboratory monitoring, medication review or insurance authorization before renewing certain prescriptions.
Submit a Palms pharmacy refill
Specialist and imaging coordination

How Palms Medical Group referrals work

Referral timing and next action
Situation Published Palms timeframe What the patient should do
Routine referral Generally processed within 5 days after the visit. Watch for a Palms text or email confirming that records and insurance information were sent.
Urgent referral Generally processed within 2 days after the visit. Contact the Case Manager promptly if the expected communication does not arrive.
Specialist has not called Follow up when 10 days have passed. Call the Palms Case Manager at 352-463-4505.
Outside imaging report Palms states that some reports may take two weeks or longer to arrive. Confirm that the imaging office sent the report to the correct Palms location.
The Palms provider places the referral The referral includes the medical reason and records needed by the specialist.
The Case Manager checks insurance Palms attempts to select a qualified specialist who accepts the patient’s insurance and is reasonably convenient.
Prior authorization is requested when required Insurance approval may be needed in addition to the provider’s referral.
Palms sends confirmation A text or email means the referral information was sent to the specialist; it does not necessarily mean the appointment is scheduled.
The specialist contacts the patient If no call arrives within ten days, contact the Palms Case Manager.
Verify coverage again Confirm the specialist, facility and planned service directly with the insurance company before treatment.
Sliding-fee limitation: The Palms discount applies to Palms services. An outside specialist may treat the patient as self-pay unless that office offers its own assistance.
Referral follow-up script
“My Palms provider ordered a referral on [date] for [specialty or imaging]. Have my records and insurance authorization been sent? Which office received the referral, and what should I do if the specialist does not call?”
Call Case Manager: 352-463-4505
Medical-record access

How to request Palms Medical Group medical records

Check the portal first Laboratory results, imaging information and printable office-visit records may already be available.
Download the medical-record authorization Palms publishes English and Spanish medical-record forms.
Identify the record range Provide clear beginning and ending dates and name the exact records needed.
Name the recipient Give the patient, physician, specialist, insurer, attorney or other authorized recipient’s complete delivery information.
Sign the authorization Missing signatures, incomplete identity information or unclear dates can delay the request.
Submit the form Palms instructs patients to email eligible patient forms to medicalrecords@palmsmg.org.
Published record-copy charges
Record length Published charge Payment rule
Pages 1-25 $1 per page Payment is due before records are released.
Pages after page 25 $0.25 per page The lower per-page rate applies only after the first 25 pages.
Portal-accessible information No paper-copy fee stated Availability depends on what is stored and released in the portal.
Save money on large requests: Ask whether an electronic copy or a narrower date range can provide what you need before ordering an entire paper chart.
Download medical-record form Email medicalrecords@palmsmg.org
Patient protections

Your rights and responsibilities at Palms Medical Group

You have the right to
  • Respectful care from credentialed providers.
  • Understand your diagnosis, treatment and prognosis.
  • Receive interpretation assistance when needed.
  • Participate in treatment decisions.
  • Refuse treatment and understand the consequences.
  • Ask for an explanation of charges.
  • Request another medical opinion.
  • Review records maintained about your care.
  • Submit complaints, grievances or suggestions.
You are responsible for
  • Providing accurate health and medication information.
  • Reporting allergies and sensitivities.
  • Asking questions when instructions are unclear.
  • Participating in the agreed treatment plan.
  • Telling Palms about care received elsewhere.
  • Providing transportation when medically required.
  • Paying charges not covered by insurance.
  • Treating staff and other patients respectfully.
Complaint or grievance: Palms publishes 352-463-4503 for complaints, grievances and suggestions. Record the date, location, staff or department, what happened and the resolution requested.
Grievance script
“I am submitting a patient grievance concerning care or service at [location] on [date]. The issue was [brief facts]. I previously contacted [person or department]. I am requesting [record review, explanation, correction, follow-up or another specific outcome].”
Local practical tips

North Florida patient tips that can prevent delays

01
Confirm the department

A location may offer medical care but not dental, pharmacy, X-ray or prenatal services.

02
Check pharmacy hours separately

Pharmacy hours can differ from the medical-center schedule.

03
Apply before expensive care

Bring sliding-fee documents before the service instead of asking for retroactive help later.

04
Keep Case Manager details

Save the specialist’s name, referral date and Palms Case Manager number.

05
Do not wait for medication to run out

Submit refill requests early enough for provider review and insurance approval.

06
Verify outside-specialist cost

The Palms sliding fee usually does not transfer to an outside specialist.

07
Ask where results will appear

Confirm whether the provider will call, send a portal message or schedule follow-up.

08
Save every authorization number

Keep insurance approval numbers for specialists, imaging and procedures.

09
Use the correct after-hours path

Call the nurse for non-emergency guidance and 911 for dangerous symptoms.

Contact the right team

Palms Medical Group phone and contact directory

Patient task and correct contact
Patient need Contact Best use
General help 1-888-730-2374 Location routing, general patient assistance and portal access questions.
After-hours nurse 352-505-2854 Non-emergency health guidance after normal office hours.
Referral Case Manager 352-463-4505 Referral processing, specialist status and imaging coordination.
Financial counselor finance@palmsmg.org Sliding-fee, insurance, self-pay and payment-assistance questions.
Medical records medicalrecords@palmsmg.org Submitting registration, medical-record, dental-history and chiropractic forms.
Complaint or grievance 352-463-4503 Patient complaints, grievances and suggestions.
Administrative office 23476 W U.S. Highway 27, High Springs, FL 32643
386-454-0698		 Administrative matters—not automatically the location of a clinical appointment.
Email safety: Do not send emergency symptoms, passwords, full Social Security numbers or unnecessary private medical information through ordinary email.
Administrative office

Palms Medical Group administrative office map

Palms Medical Group Administrative Office
23476 W U.S. Highway 27
High Springs, FL 32643
Phone: 386-454-0698
Do not use this address automatically for a medical visit. The administrative office is different from many Palms patient-care locations. Use the address shown in your appointment confirmation.
Questions answered

Palms Medical Group frequently asked questions

What is Palms Medical Group?

It is a nonprofit North Florida community health provider offering primary care and selected pediatric, dental, behavioral, prenatal, chiropractic, pharmacy, X-ray and laboratory services.

Where are Palms Medical Group clinics located?

Palms lists centers in Bell, Branford, Chiefland, Fleming Island, Gainesville, High Springs, Lake City East, Lake City West, Live Oak, Starke, Trenton and Williston.

How do I request an appointment?

Use the official online scheduling-request system or contact the preferred location. Same-day appointments may be available depending on capacity.

What is the main telephone number?

The main Palms Medical Group number is 1-888-730-2374.

Is an after-hours nurse available?

Palms publishes 352-505-2854 for after-hours nursing guidance. Call 911 for an emergency.

Can uninsured patients receive care?

Yes. Palms accepts uninsured patients and offers income-based sliding-fee assistance to qualifying households.

How much is a self-pay visit?

The published general fee levels are $20, $30, $40, $50 or the full prevailing fee. The actual amount depends on income, family size and services provided.

What does the sliding fee cover?

It may discount qualifying Palms medical, laboratory, dental, behavioral-health and pharmacy services. It generally does not cover an outside specialist.

Which insurance plans are accepted?

Palms lists several Medicaid, Medicare Advantage and commercial plans. Always verify the exact product, provider, service and location.

What can the NextGen portal do?

Patients can request refills, review medications, view laboratory and imaging results and print records of office visits.

How long does a routine referral take?

Palms states that routine referrals are normally processed within five days and urgent referrals within two days.

What should I do if the specialist does not call?

If ten days have passed, call the Palms Case Manager at 352-463-4505.

How much do paper medical records cost?

Palms lists $1 per page for the first 25 pages and $0.25 per page after page 25, payable before release.

How do Palms pharmacy refills work?

Use the online refill form only for prescriptions filled at a Palms pharmacy and enter the RX number printed on the current container.

How do I file a patient complaint?

Palms lists 352-463-4503 for complaints, grievances and suggestions.

Final live actions

Official Palms Medical Group patient tools

The important instructions are explained above. Use the official systems below when you are ready to complete the final live action.

Request appointment Patient portal Find a location Find a provider Patient forms Prescription refill Insurance list
Independent patient-information notice:

USMedicalGroup.org is not Palms Medical Group and cannot schedule appointments, approve financial assistance, provide diagnoses, process prescriptions or guarantee insurance coverage. Services, hours, providers, fees and insurance participation may change.

This guide provides general educational information and does not replace advice from a licensed medical professional. Call 911 for a life-threatening emergency.

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