FORMS

We break for lunch from Noon to 1pm

 

Call 904-824-8666 for an appointment

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

 

Click on the link below for our:

HIPPA Policy

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.

 
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