Patient Center

Acute care services
Our goal is to provide you access to care in a timely fashion. This leads to preventing mortality and morbidity. Dr. Kundlas and Shield medical group team is highly skilled in the diagnosis of acute illnesses and coordination of care. We will provide you same day appointment and will be available during afterhours and holidays via patient portal and virtual visit on your smart phone or your computer.
 Book Appointment  Telemedicine

Chronic disease management.
Our goal is to minimize effect of chronic medical problem on your health.

What Is a Chronic Condition?
Some examples of chronic conditions are congestive heart failure (CHF), chronic obstructive pulmonary disease (COPD), chronic kidney disease or kidney failure (CKD), diabetes, asthma, cancer or arthritis.

We Work with You One-on-One and we
I use comprehensive coordinated care model. Our practice will be your medical home and we will coordinate your complete care. We work with quality specialists, hospitals, nursing homes and other ancillary services. We will work with your insurance, specialists and other healthcare providers to navigate you care. We will keep you informed every step of the way. We have use evidence-based care management programs.

• Self-Management and Health Education Programs
• Monitoring of your chronic conditions
• Management of your medications including how they may interact with each other
• Reminders for tests that may be appropriate
• Management of prescriptions
• Management of referrals to other providers
• Education regarding your chronic conditions and a healthy lifestyle
• 24/7 phone access to a physician
• Counseling of your caregivers
• Virtual visits.    Telehealth
• Same day appointments.
• Health coaches [if you qualify based on your chronic diseases we will assign you a teammate who will your healthcare navigator. This teammate will be your point of contact for any kind of medical needs].
• Access to Dr. Kundlas via patient portal.

Preventive care services

• Virtual visits.    Telemedicine.
• Same day appointments.
• Health coaches [if you qualify based on your chronic diseases we will assign you a teammate who will your healthcare navigator. This teammate will be your point of contact for any kind of medical needs].
• Access to Dr. Kundlas via patient portal.

Be sure to bring:

• A list of all current medications including herbal and over-the-counter medicines, and nutritional supplements.
• Your health insurance card(s). If co-payments are required by your insurance, they must be made prior to seeing the doctor.
• Photo I.D.
• If patient is a minor child and not accompanied by custodial parent, then a notarized statement for authorization of treatment must be brought in by the person with the child.

PREVENTION AND SCREENINGS

• Breast cancer screening within the past 27 months for women 50 to 74 years old
• Screening test for colon cancer for adults 50 to 75 years old
• Body mass index (measurement based on height and weight) documented by a physician within the last two years for adults 18 to 74 years old
• Bone density testing for women 67 to 85 years old

MEDICATIONS

• Taking certain heart medications for diabetes and high blood pressure
• Reviewing use of high‐risk medications
• Taking cholesterol medication as prescribed
• Taking diabetes medication as prescribed
• Taking high blood pressure medication as prescribed

DIABETES CARE (Adults 18 to 75)

• Yearly diabetic retinal eye exam
• HbA1c testing (test to determine how well blood sugar is controlled)
• Yearly urine protein test

OTHER

• Medication for rheumatoid arthritis for adults 18 and older

Introduction to Your Florida Advance Directive
This packet contains a legal document that protects your right to refuse medical treatment you do not want, or to request treatment you do want, in the event you lose the ability to make decisions yourself. You may complete Part One, Part Two, or both, depending on your advance planning needs. You must complete Part Three.

Part One. The Florida Designation of Health Care Surrogate lets you name a competent adult to make decisions about your medical care, including decisions about life-prolonging procedures, if you can no longer speak for yourself. The designation of health care surrogate is especially useful because it appoints someone to speak for you any time you are unable to make your own medical decisions, not only at the end of life.
Your health care surrogate’s powers go into effect when your doctor determines that you are physically or mentally unable to communicate a willful and knowing health care decision.

Part Two. The Florida Living Will lets you state your wishes about health care in the event that you are in a persistent vegetative state, have an end-stage condition or develop a terminal condition. Your living will goes into effect when your physician determines that you have one of these conditions and can no longer make your own health care decisions. Your living will also allows you to express your organ donation wishes.

Part Three contains the signature and witness provisions so that your document will be effective.
This form does not expressly address mental illness. If you would like to make advance care plans regarding mental illness, you should talk to your physician and an attorney about a durable power of attorney tailored to your needs. However, unless your Designation of Health Care Surrogate expressly states otherwise, your health care surrogate presumptively may make health care decisions regarding mental health treatment.
Note: These documents will be legally binding only if the person completing them is a competent adult (at least 18 years old).

Frequently Asked Question

Whom should I appoint as my surrogate?
Your surrogate is the person you appoint to make decisions about your health care if you become unable to make those decisions yourself. Your surrogate may be a family member or a close friend whom you trust to make serious decisions. The person you name as your surrogate should clearly understand your wishes and be willing to accept the responsibility of making health care decisions for you.
You can appoint a second person as your alternate surrogate. The alternate will step in if the first person you name as a surrogate is unable, unwilling, or unavailable to act for you.

How do I make my Florida Advance Directive legal?
The law requires that you sign your Advance Directive in the presence of two adult witnesses, who must also sign the document. If you are physically unable to sign, you may have someone sign for you in your presence and at your direction and in the presence of your two witnesses.
Your surrogate and alternate surrogate cannot act as witnesses to this document.At least one of your witnesses must not be your spouse or a blood relative.
Note: You do not need to notarize your Florida Advance Directive.

Should I add personal instructions to my Florida Advance Directive?
One of the strongest reasons for naming a surrogate is to have someone who can respond flexibly as your medical situation changes and deal with situations that you did not foresee. If you add instructions to this document it may help your surrogate carry out your wishes, but be careful that you do not unintentionally restrict your surrogate’s power to act in your best interest. In any event, be sure to talk with your surrogate about your future medical care and describe what you consider to be an acceptable “quality of life.”

What if I change my mind?
You can always revoke your Florida Advance Directive. State law permits you to revoke your document in the following ways:
1. through a signed and dated writing showing your intent to revoke;
2. by physically destroying the original, or having someone destroy it for you in your presence at your direction;
3. by orally expressing your intent to revoke; or
4. by executing a new Advance Directive that supersedes the older document. You should notify your health care provider and surrogate(s) to ensure that your revocation is effective.
5. If you name your spouse as your surrogate and you are divorced or your marriage is subsequently annulled, your spouse’s powers as surrogate will be automatically revoked. If you would like your spouse’s powers to continue in the event of a divorce or annulment, you can state this in the “Additional Instructions” section on page 2 of the form by adding an instruction such as, “The authority of my surrogate shall not be revoked by divorce or annulment of our marriage.”

What other facts should I know?
If you would like to give your surrogate the authority to refuse life-prolonging treatment for you in the event that you become terminally ill and incompetent while you are pregnant, you must add an instruction such as, “My surrogate has the authority to order the withholding or withdrawal of life-prolonging treatment, even if I am pregnant,” under the “Additional Instructions” section on page 2 of the form.
Also, unless you expressly state otherwise under the “Additional Instructions” section, your health care surrogate, if you appoint one, does not have authority to authorize abortion, sterilization, electroshock therapy, psychosurgery, experimental treatments, or voluntary admission to a mental health facility.