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Pre-Registration & Forms

You can speed up the amount of time it takes to check in at your appointment. Please bring the following information with you:

  • Bring a list of your medications
    • Name of medication
    • Why do you take it?
    • What dose do you take?
    • How often do you take it?
    • Who prescribed it?
  • Guardianship papers or Birth Certificate (for anyone under 18 years of age)
  • Insurance Card
  • Identification
  • Emergency Contact Information
  • Previous Medical Records (if available)
  • Primary Care Physician Information

Click here for a healthcare questionnaire
(You may wish to print it, fill it out and bring it with you.)

Information & Appointments

Inpatient Care

941-782-4150 941-782-4617