New Patient Forms

As with any medical office, there are many forms to fill out and information to be offered. Below you will find links to a variety of forms that you may print out and complete prior to an appointment or refer to as necessary during the course of your treatment.

Download New Patient Forms (pdf)

Patient Bill of Rights

Adopted in 1998 by the U.S. Advisory Commission on Consumer Protection and Quality in the Health Care Industry, and written into legislation specific to Florida, this document outlines the rights and responsibilities of patients. We support and protect the fundamental rights of each patient according to the adopted guidelines.

Download Patient Bill of Rights (pdf)

Notice of Privacy Practices

Effective April 14, 2003, new privacy laws were established called the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”). At your physician’s office, you will be asked to sign a form acknowledging that you have received this Notice of Privacy Practices.

Download Notice of Privacy Practices (pdf)