Fill Out Our Forms Today
If you are unable to access the forms on the Portal, you may download, complete and mail or deliver the appropriate forms below, prior to your appointment.
Please mail the forms to 1090 S. Tamiami Trail, Sarasota, FL 34236, or email the forms.
Notice of Privacy Practices
New Patient Registration for Adults
New Patient Registration for Children and Adolescents
Existing Patients for Telehealth Release
Release of Medical Information
Telehealth Instructions
All Services are Currently Available by Telehealth
Sarasota, FL – Main: (941) 363-0878
Sarasota, FL – Bee Ridge: (941) 499-0463
Bradenton, FL: (941) 346-6460
Brandon, FL: (941) 363-0878
Coral Springs, FL: (954) 340-0888
Fort Myers, FL: (239) 936-1336
Jacksonville, FL: (904) 399-0324
Jacksonville Beach, FL: (904) 456-0002
Jacksonville University, FL: (904) 399-0324
Lakewood Ranch, FL: (941) 346-6464
Largo, FL: (727) 586-0636
Nocatee, FL: (904) 824-7733
Orange Park, FL: (904) 278-4999
Orlando East, FL: (407) 789-1080
Orlando West, FL: (407) 523-1213
St. Augustine Beach, FL: (904) 824-7733
World Golf Village, FL: (904) 824-7733
St. Augustine, FL 210/NW: (904) 824-7733
St. Petersburg, FL: (727) 564-9955
Tamarac, FL: (954) 340-3000
Tampa, FL: (813) 678-2373
Tallahassee, FL: (850) 792-1025
Venice, FL: (941) 346-6465
Fairhope, AL: (251) 517-3175
Huntsville, AL: (256) 533-9393
Madison, AL: (256) 325-2388
Mobile, AL: (251) 662-9466