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For New Patients
If you're a new patient, please complete the form before your appointment. This helps speed up check-in and ensures we have all the correct information.
For Doctors & Attorneys
If you're referring a patient for imaging, please use the form below. You may submit it digitally or print and fax/email it to us.
EMC Determination Form
Attorneys and medical providers may use this form to indicate whether a patient meets the Emergency Medical Condition criteria under Florida law.
Other Forms & Notices
View our privacy policy, consent forms, and any required legal disclosures.
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Not Sure Which Form You Need?
Call us at (786) 362-6929 or email [email protected] and we’ll help you choose the correct form or submit it on your behalf.
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