Office Personnel

Always at your service

  • Insurance & Billing - Deborah Brown
  • General And IT - Marti
  • Surgery Scheduling and Medical Records - Gabriele
  • Prescriptions and Medical queries - Stefanie
  • Appointment and Reception - Terri
Udita Staff

Download Forms

Contact Us 
Phone: 407-321-8300



Click Here To Download

New Patients kindly print, complete, and sign the following forms before your visit. This will allow us to process your information quickly and efficiently and minimize your wait time. Our service providers always strive for the best service for our patients.

The following forms are included in the above download:

  • New Patient Information
  • Information for your Physician
  • Review of Systems & Patient Conditions
  • Notice of Privacy Practices
  • Financial Policy
  • No Show Policy


Notice of Privacy Practices

Please download and read the documents from the link above. Then, sign the

"Acknowledgement of Receipt and of Notice of Privacy Practices" page of the patient forms.

 

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