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Medical Forms

The following forms will be necessary depending on your visit.
Please make sure you are able to download and print PDF documents.

We recommend using Adobe Acrobat Reader.


NEW PATIENT PRIMARY & URGENT CARE FORMS‍

*Please print all forms & fill out prior to appointment‍‍

 

 

 

 


NEW PATIENT WITH AUTO INJURY CARE FORMS

*Please print all forms & fill out prior to appointment

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Pages 

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Contact Us 

Main Office  (941) 927-1234

Phone Extensions:

General Appts..............................................ext. 104                                        Physical Therapy Appts...........................ext. 106                                    

Chiropractic/Auto  Accident Appts...ext. 126            

Orthopedic Appts......................................ext. 122                                        

Billing ..............................................................ext. 107                                        

Medical Records ........................................ext. 125                              

Medical Care Questions.........................ext. 105               

Patient Referrals ........................................ext. 103                              

Authorizations.............................................ext. 103                                

Prescription Refills ....................................ext.113                        

Para hablar español...................................ext. 116                         

Practice Administrator.............................ext. 102                  

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