This is a block of text. Double-click this text to edit it.

Clients Area

(For Patients)

Find important links, updated forms, office policies & helpful information on our offices/practice.

Need Help With Paperwork?

Call Us: (352) 431-3940 

Patient Forms

New Patient Forms Packet
Pages 1-5 can be completed within the Patient Portal
Release of Medical Records Form

Individual Forms within the New Patient Forms Packet:

Consent for Emergency Contact
Consent for Medication Treatment
Consent or Decline to Receive Marketing Information
Financial Agreement
Consent for Insurance Filing
HIPAA Privacy Policy
Telehealth Consent Form
WelliQ Patient Consent Form
Follow Us on Social Media
© Copyright 2020 HUPCFL All Rights Reserved.
Menu
linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram