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Download Forms

Expedite your visit by quickly accessing, downloading and printing the forms below. Patients visiting without PIP claims only need the New Patient Intake Form. When completed, simply bring them with you to your visit, or you may fax them to us at 850.374.8784.

Document with Pen
New Patient Intake Form
PIP Coverage Authorization Form
Assignment of Insurance Benefits
Informed Consent to Care Form
Doctor's Lien Form
Florida Disclosure Form
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