YOUR VISIT
Forms & policies
To help save you time, we’ve gathered all the important forms and office policies right here
General forms & policies
Florida Patients Rights & Responsibilities
Informed Consent for Telemedicine
Request Medical Records
Request for Correction or Addendum for PHI
Request for Account of Disclosure
Request for Confidential Communications
Notice of Patient Privacy
Non-Discrimination and Language Policies
Request for Restriction and Limitation of Protected Health Information
Terms of Use
Website Privacy Statement
Social Media Guidelines
Disclaimer
Cookies Notice
Billing and Collections
Well Visit Assessment Forms
TB (Tuberculosis) / Cholesterol Risk Assessment
Language assistance and communication aids
We provide services to individuals who need assistance to communicating with us. If you need an interpreter or other communication assistance, please notify any member of our staff in person or via phone at 855-543-9362.
Our team will promptly connect you with a qualified interpreter to help ensure clear and accurate communication during your visit.