New Patients

If you cannot open the document, you'll need to download the Adobe Acrobat Reader from here:

Go ahead and download & install the Acrobat Reader, and then you should be able to open the document from the button on the right marked "Download Forms".

Please call (904) 280-8228 for an appointment.

New Patients can download our New Patient Registration forms here:

Click on the button to download the forms (a single PDF document).
Having the forms filled in ahead of time will save you having to do it when you get here.

Contents of the download document

When you open the PDF document, the forms are in the following order:

  1. Important Policies
  2. New Patient Registration
  3. Meaningful Use Update
  4. Review of Systems
  5. Medications/Allergies
  6. Agreement to call — Labs/Imaging
  7. Financial Policy
  8. Patient Consent for Protected Health Information
  9. Designation of Health care Surrogate
  10. Advanced Directive forms
  11. Consent to treat a Minor
  12. Medical Records Release