New Patient Documents and Information

Please print and complete all the below listed forms. These forms will
assist in the registration and processing information quicker prior to the
initial visit.

       NOTE: Some of the information on this page is available in Adobe PDF format. Adobe Acrobat Reader
                     must be installed on your computer to open PDFs. Click the icon at the left to download and install
                      Reader for free.

These documents specify many Florida, Civil, and facility policies please read over and
understand the policies presented as to not have further misunderstandings in the future.
Also, for married couples or others wishing to have other obtain medial information. Every
individual must be specified on a Medical Release Form in order for personal medical
information to be released. Thoroughly review disclosure laws within the Medical Release
Authorization.

PATIENT REGISTRATION DOCUMENTS

Copy this form and forward to your
previous physicians, to discuss important
medical matters with Dr. Tiomico-Trahan