To expedite the process on your first visit, we recommend new patients either complete the forms below and bring with you to your first appointment. After scheduling the first appointment, our staff can assist in registering to the Patient Portal. Please call (850) 226-6801 ext. 206 for support with the Patient Portal.

Please contact our office with any questions or for support.

Florida:

  1. New Patient Packet FL

Alabama:

  1. New Patient Packet AL

All Offices:

      1.  
      1. Release of Information (all states)
      2. HIPAA Release of Information
      3. Notice of Privacy Policy/Practices