Please feel free to fill out the following forms before arriving to your initial outpatient visit in our clinic. If you have any questions, contact our office at (561)-989-9070.


Patient Face Sheet
Current Medication List
Confidentiality Statement
HIPAA Notice of Privacy Practices
Cancellation Policy

 



*NOTICE OF PRIVACY PRACTICES – HIPAA PRIVACY RULE UPDATE

On January 17, 2013, the Department of Health and Human Services (“HHS”) released a Final Rule which makes material changes to the HIPAA Privacy Rule effective March 26, 2013.  To comply with these changes, SFKDHS, PA has revised its Notice of Privacy Practices (“Revised NPP”)..

Appointments


  • Available Monday through Friday 10:30AM-5:00PM, although additional times can be offered.


  • New patients are scheduled after a physician referral.


  • Please bring in a complete list of your medications (including over-the-counter and herbal supplements).