Please print out and complete the forms below prior to your visit and bring them with you to your first appointment. If you do not have access to a printer, please let our staff know when you come for your appointment.

What to bring to the appointment:

  • List of prescriptions and/or over-the-counter medications, including dose and frequency

  • Information about the patient's medical and surgical history

  • Relevant Records

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Tel: (813) 353 9613

2919 Swann Avenue Suite 105A Tampa, FL 33609