Forms



New Patient Forms are Now Available Online!

IMPORTANT INSTRUCTIONS FOR PRINTING FORMS: When you print a form, if the right side is cut off you must set the right margin to .25.

PLEASE PRINT, READ, AND FILL OUT THE FORM BELOW BEFORE COMING TO YOUR FIRST VISIT WITH THE DOCTOR.

DOWNLOAD:
NEW PATIENT FORM

IMPRIMIR FORMAS DE NUEVO PACIENTE

(make sure you have ADOBE ACROBAT READER to open form. RIGHT CLICK TO SAVE.)


For your health.

A Note to New Patients from Dr. Gonzales

Dear Patient:


     In our effort to provide better healthcare to our patients, we strongly request that you arrive promptly 30 minutes prior to your scheduled appointment when establishing. We also strongly urge and encourage you to be 15 minutes early for any regularly scheduled appointments thereafter.
     When establishing, there are many forms to be completed and insurance verifications to be done which are in the best interests of you, our patient. Of course, this is very time consuming, but please remember that if you are scheduled in a specific time slot with a medical provider, it is imperative for you to be punctual. We strive and place personal demands on ourselves to do our best to meet our patient's needs and appointment schedule on a timely basis. Unfortunately, if our patients are running late, it causes a "domino effect", thereby causing all remaining appointments to be seen late. Just as it is our responsibility to keep a strict schedule, it is also your responsibility to make all appointments at the correctly scheduled time. We certainly dislike having a waiting room full of patients that are late for their appointments just as much as you dislike waiting on our providers.
     I am optimistic that together we can work on your health care needs and help us in our pursuit to provide the best family practice setting in the Orlando area. I welcome any suggestions or criticisms alike for the improvement of our practice. Mutual understanding and respect is of utmost importance and clearly will make your doctor visit a success.

-Dr. Patrick Gonzales

Information for New Patients

Be sure to read up on our Office Info to familiarize yourself with our policies.

 

 



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