Fax: 352.385.2639
3643 Lake Center Drive
Mount Dora, FL 32757
Office Hours
Monday - Friday
8:30 am - 5:00 pm
Patient Information
For your convenience we have most of our Patient Forms available for you to download and complete in the comfort of your own home.
When you book your appointment our courteous staff will let you know which forms are needed for your next visit. Simply print, complete and bring these completed forms by the office, or you can fax them.
For New Patients we require these forms before we schedule your appointment so we can verify insurance and be sure we can better assist you.
For those patients wishing to simply participate in the Ideal Protein Diet or simply schedule a Thermogram your forms can be brought with you to your appointment as insurance does not need to be verified for these services.
Patient Form Downloads
- New Patient Forms Packet (only complete if this is your first visit to our offices)
- Thermogram (only complete if this is you are scheduling a Thermogram)