Please complete all sections of this very important form. Please give special attention to those sections concerning present or previous medical problems, any prior surgical procedures, present medications and any allergies. You may bring the completed form with you to your appointment or fax it to us in advance: fax (813)876-6258.

Download New Patient Information Form

Our Notice of Privacy Practices provides information about how we may use and disclose protected health information about you.

Download Notice of Privacy Practices Form