Our Patients
Patient forms, online bill payment, online colonoscopy scheduling, patient portal access, insurance information, and office policies for Charlotte Harbor Surgical (John F. Guarino, M.D., P.A.).
Online Endoscopy Booking
Schedule your screening or diagnostic colonoscopy online or call our office.
Patient Portal
Access your medical records, appointment details, and messages online.
Patient Forms (PDF Downloads)
Please print and complete these forms prior to your visit to expedite check-in:
- 2022 Patient Forms — New Patient Registration Packet (PDF)
- 2020 Medical Release — Medical Records Release Authorization (PDF)
- Colon Cancer Screening — Screening vs. diagnostic colonoscopy & insurance information (PDF)
- Colorectal Cancer Awareness Month (PDF)
- SAGES Colonoscopy Patient Information (PDF)
CareCredit Financing
We accept CareCredit healthcare financing to help manage out-of-pocket surgical and procedure expenses.
Pay or Apply with CareCredit ↗
Hospital Affiliations
Our surgeons have privileges at AdventHealth Port Charlotte (2500 Harbor Blvd, Port Charlotte, FL 33952) and Murdock Surgery Center (1400 Education Way, Port Charlotte, FL 33948).
If you choose to go to an ER, please use AdventHealth Port Charlotte.
Medical Records, Referrals & Fax
- Medical records request: complete the 2020 Medical Release (PDF) and return it to the office or fax it to (941) 391-6937. Requests normally take 7–10 business days.
- Referring offices: fax referrals and records to (941) 391-6937, or call (941) 391-5102.
- Insurance & screening colonoscopy: see Colon Cancer Screening (PDF) and the AGA screening colonoscopy coding FAQ; patient education from SAGES.
- Office hours: Mon–Thu 7:30 am–4:00 pm, Fri 7:30 am–12:00 noon · 4245 Kings Hwy, Unit A, Port Charlotte, FL 33980 · Directions
Appointments
We know you have many choices when choosing a Surgeon in Port Charlotte, FL, so we have made requesting an appointment a simple process via our Web site or by calling our office at (941) 391-5102.
Insurance and Billing
Please contact our office to verify acceptance of your insurance plan. Qualifications for insurance coverage may differ due to the uniqueness of each procedure. We are happy to file insurance for your reimbursement as long as you are free to choose your own Surgeon.
Payment Options
We accept cash, checks, CareCredit, and major credit cards. Please see our Financial Coordinator for details. Online payments can be submitted anytime through our Payment Center.
Cancellations
If you are unable to keep an appointment, we ask that you kindly provide us with at least 24 hours notice for office visits. If you need to reschedule a procedure or surgery, please give 48 hours notice. A fee may be charged if a patient fails to show up for an appointment without sufficient notice.
Schedule a consultation with Dr. Campbell
Call Charlotte Harbor Surgical in Port Charlotte. Mon–Thu 7:30 am–4:00 pm, Fri 7:30 am–12:00 noon.