Patient Forms & Privacy Notices

Registration Forms

If you are a new patient, please fill out the forms below and bring them with you when you come for your appointment.

Patient Profile

Financial Policy

Patient Consent

Limited Information Release

Privacy Notices

This privacy notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Notice of Privacy Practices

Aviso Sobre Las Practicas Privacidad

These forms require Adobe Reader. If you do not have Adobe Reader, you may download it free here:

Get Acrobat Reader (this link opens a new browser window).

State of Florida - Patient's Rights

Healthcare Advanced Directives

Every competent adult has the right to make decisions concerning his or her own health, including the right to choose or refuse medical treatment. Please follow the below links to understand your rights.

Health Care Advance Directive - Patient's Right to Decide (PDF format)

About Health Care Advance Directives