New Patient Forms

If you are a new patient you may download our registration forms in advance and bring the completed forms with you when you come for your appointment.

Patient History Form

Patient Registration Form

Consent to Treat

Release of Medical Records

Medical record are confidential. If you are transferring your medical records to or from another provider, we will need this form.

Medical Records Release (as needed)

Privacy Policy

This Privacy Policy describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Notice of Privacy Practices

Aviso Sobre Las Practicas De Privacidad

These forms require Adobe Reader. If you do not have Adobe Reader, you may download it free here:

Get Acrobat Reader (this link opens a new browser window).

State of Florida - Patient's Rights

Healthcare Advanced Directives

Every competent adult has the right to make decisions concerning his or her own health, including the right to choose or refuse medical treatment. Please follow the below links to understand your rights.

Health Care Advance Directive - Patient's Right to Decide (PDF format)

About Health Care Advance Directives


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