New Patient Forms

Thank you for choosing our practice. Before your initial appointment, we require a 2-step enrollment process for all new patients.

Step 1: Register on the Patient Portal

Your pin is your birth year (ex: 1961).

Benefits of Using the Patient Portal

Our patient portal offers convenient and secure access to:

Office visit notes
Personal health information
Plan of care instructions
Secure messaging to your physician
Medication refills
Appointment requests

The link to get to the portal can be found on the top of the website or by clicking here.

Your login ID and password have been securely emailed to you by the office.

If you did not receive this email, please call 407.644.4883.

Click Here to Access the Patient Portal

Note: The Patient Portal is for patients 17 and older only. Patients under 17 are not required to sign up for the portal.

Step 2: Complete New Patient Paperwork

FOR PATIENTS 17 AND OLDER

Download Your New Patient Paperwork By Clicking The Download Button

DOWNLOAD FORMS FOR 17 AND OLDER

FOR PATIENTS 16 AND UNDER

Download Your New Patient Paperwork By Clicking The Download Button

DOWNLOAD FORMS FOR 16 AND UNDER

Additional Forms

In some cases, your visit may require you to fill out additional forms. If a member of our staff requested you to fill out one of these forms you will find it below.

Patient Satisfaction Survey

After your visit, please complete this survey to help us continue improving our patient service:

Patient Satisfaction Survey

Medical Records Release Form

If you would like to obtain a copy of your medical records, please complete this form and send it to our office:

Medical Records Release

Need Additional Help?

Questions? Feel free to give us a call at 407.644.4883 during regular business hours and we would be happy to assist, or click here and contact us at any time.