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Okeechobee (863) 357-1166
Clewiston (863) 983-0307

New Patient Forms

doctorsDuring the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor.  We accept most insurances.

Patient Forms
Please print and fill out the New Patient forms so we can expedite your first visit.

pdf downloadNew Patients

pdf downloadNew Patients Minor

Please arrive early so that we can complete your initial paperwork. Also, please bring the following:

  • Patient's insurance card
  • List of current prescriptions and/or over-the-counter medication, including dose and frequency
  • Information about patient's medical and surgical history
  • Recent test results, x-rays, or relevant records

Insurance and Payment Information

You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call our office in Okeechobee (863) 357-1166 or Clewiston (863) 983-0307. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.

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