New Patient Information

If you would like to schedule a new patient appointment, or have questions about our office, please call (239) 985-1925.

If you have already booked an appointment:

• Please arrive 30 minutes early to ensure the appropriate amount of time to register.
• Please bring a form of photo identification and your insurance card(s).
• Please provide a list of any medications you are currently taking and provide it to the front desk when you arrive.

Please fill out the attached forms and bring them to your first visit.

Patient Registration Formspdficon

 

If you are seeing Dr. Tolep for your first visit, please also complete the following:

pdficonPatient Medical History Form – Dr. Tolep

 

If you are seeing Dr. Sareh for your first visit, please also complete the following:

pdficonPatient Medical History Form – Dr. Sareh