If you need a more accessible version of this website, click this button on the right. Switch to Accessible Site

WARNING

You are using an outdated browser. Please upgrade your browser to improve your experience.

Close [x]

Request Appointment

941-629-6700

Click here for: Returning Established Patient Paperwork

(Allow a few moments for entire file to load)

This paperwork is for those patients at our office who, for whatever reasons, have not been seen by our doctors in six months or longer. The paperwork, as all other paperwork, must be completed before arriving at our office.  You can bring the paperwork with you on the day of your appointment, or it can be dropped off or mailed to our office ahead of your appointment, as well. 

Medicare mandates that this paperwork is submitted, and that our doctors perform an exam on the patient, before treatment.  

We know this can be frustrating, and patients may not understand why this is mandated.  Six months or more is a very long time.  A lot can happen to one's health in this time.  A patient could have drastic medication or changes in his/her condition; surgeries could have occurred; injuries could have occurred, etc.  Really, if you think about it, would you really want the doctor to  be adjusting you and treating you, if she didn't know anything about changes that might had taken place since you last came to our office?

For the sake of your health and well being, we request that you complete these forms, allowing the doctor to review your current status, prior to treating you.  We are here to watch over your healthcare needs, and the more knowledge we have about your current health situation, the better the doctor can do her job.

Go to top of page