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
Financial Agreement
Consent for Insurance Filing
HIPAA Privacy Policy
Telehealth Consent Form
WelliQ Patient Consent Form
Follow Us on Social Media
© Copyright 2021 HUPCFL All Rights Reserved.
linkedin facebook pinterest youtube rss twitter instagram facebook-blank rss-blank linkedin-blank pinterest youtube twitter instagram