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New Patient Forms

 

Below are three (3) forms that we ask our new patients to fill out during their first visit. If you would prefer, you can print the forms and fill them out prior to your scheduled consultation. Simply turn the forms in at the front desk when you arrive.

 

(1) Application For Treatment: Click here for printable PDF version

(2) Office Policy: Click here for printable PDF version

(3) HIPAA Form: Click here for printable PDF version

 

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801 2nd Street N. Suite E., Safety Harbor, Florida 34695
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