Patient Forms

If you prefer to download, print and complete the new patient forms, please click the links below:
English Downloadable Forms
Spanish Downloadable Forms | Hoja De Registro De Pacientes

About Your First Visit

In order to help your experience with us be as comfortable as possible, here is some information about your first visit. Depending on your situation, your doctor will ask you a series of questions about your health history, symptoms and other related questions. Then, you will undergo a physical examination that will assist the physician in determining more about your condition. After the physical examination, the doctor will speak with you and give you some recommendations for treatment.

Please bring the following with you to your appointment. For your convenience, you can download our forms and fill them out prior to coming in for your appointment:
Health Insurance Card/Information
Your Photo ID
Your co-payment, if indicated on your insurance card
A friend or family member, if needed, to take notes/help with questions
A list of all medications you are taking
A list of your questions/concerns
Copies of records from doctors related to your visit with us

Cancellation of an Appointment
If it is necessary for you to cancel your scheduled appointment, we require that you call the office at least one (2) working days in advance. Appointments are in high demand, and early cancellation will give another person the possibility to have access to timely care.

How to Cancel Your Appointment
To cancel an appointment, please call 407-201-3686. Please speak directly with a scheduler. Cancellations via email cannot be accepted at this time.

Late Cancellations or No Show
Patients failing to cancel their appointment as indicated above (at least 24 hrs in advance) will be billed an administrative fee: Office visit: $25; Endoscopic procedure: $100

All fees must be paid in full prior to the scheduling of future appointments.

Thank you for your cooperation

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