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  • 3780 NW 83rd ST, Gainesville
  • 352.377.2022
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Useful forms

The follow are forms that we use in our office.  In an effort to save waiting time these forms can be downloaded, printed and completed by the patient prior to their appointment.  Please let us know if you have a question about which form(s) you need to complete prior to your next visit.

2009 Patient Information Update Sheet
Patient Information Update Sheet for Minors
Lifetime Authorization
Menstrual History
Medical History Form
Consent to Use and Disclose Health Information
Notice of Privacy
Request for Confidential Communication of Protected Health Information
Authorization for Release of Medical Information