Blue Shield Patients

Please read item number 1, our Notice of Non-Participation in the Blue Cross Blue Shield Network.

Secondly, please print items number 2 and 3. After completing both items, please email both items to You may fax or mail the items as well.

Sarasota Anesthesiologists, PA

1261 South Tamiami Trail

Sarasota, FL 34239

P 941-366-2360

F 941-365-1387

1. Notice of Non-Pariticipation in the Blue Cross Blue Shield Network

2. Assignment of Benefits Form

3. Appointment of Representative Form