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Forms to be printed

NO COMPUTADOR:

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Basta clicar na palavra "PDF" ao lado do nome do formulário correspondente:

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1. Complete os formulários

2. Imprima ( clik na direita do mouse -  opcão print )

3. Trazer consigo os formulários para sua primeira consulta

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Caso não seja possivel traze-los:

- Chegue 30 minutos antes de sua consulta para preencher os formulários.

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O preenchimento antecipado dos formulários irá  acelerar seu processo de admissão.

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Fill in PDF on the Computer

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Just click on "PDF" next to the name of the corresponding form, complete the forms, print out,( right click) and  and bring them with you prior to coming in for your first appointment, or arrive 30 minutes prior to your appointment. This will help speed up the intake process.

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Optional Forms

(for Homeopathic patients only)

Payment Form

(optional)

#     Online Form
Download
Size
8
510 Kb
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We speak English, Spanish, and Portuguese
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We order lab and X-ray exams

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Contact Us

7362 Future Dr. - Suite 22, Room 112

Orlando, FL 32819

(407) 373-0606
Business Hours
Monday - 10:30am to 4:30pm
Tuesday - 9:30am to 4:30pm
Wednesday - 9:30am to 4:30pm
Thrusday - Closed
Friday - 9:30am to 4:30pm

© 2023 Elly Tuchller, A.P. All Rights Reserved.

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