320 S.R. 60 East
Lake Wales, FL 33853
Patient FormsFirst time patients please download and complete:
• Protected Health Information Release Form
• Patient Information Form
• Financial Policy
• e-Prescribing Consent Form
Bring all four forms completed and signed to your first appointment
Please bring your insurance card/s and a picture ID
Bring all medication bottles
Make sure you read the "Notice of Privacy Practices"
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