FORMS

The following 3 Forms need to be completed prior to your first visit:

 

Click on the link below for our:

 Intake and Consent Form

Click on the link below for our:

Clinical Intake Form

Click on the link below for our:

Medical Information Release Form

 

 

 

Review our HIPAA Policy with the link below:

HIPPA Policy

If you would like to download and print these forms to fill out and bring to your appointment, please click on the PDF file below:

 

Please Remember to bring the following to your appointment:

Insurance Card

ID Card

X-rays and CT scans (Unless done at Flagler Hospital or St Augustine Imaging Center)

Old records (new patients)

List of Current medications

Referral from primary Dr. and Insurance Co.