MEDICAL FORMS
In order to provide a proper and thorough evaluation, we ask that you complete the forms listed below prior to your first appointment.
Please bring these items to your scheduled appointment:
- Insurance card
- Picture identification(accepted forms of ID include: driver’s license, state ID card, student ID, or passport)
- Medicine bottles from your current prescriptions
- Medical records, including MRI reports, X-rays, laboratory tests and office notes form other medical facilities where you have received treatment(These are critical part of evaluation.)
In order to provide a proper and thorough evaluation, we ask that you complete the forms listed below prior to your first appointment.
Please bring these items to your scheduled appointment:
- Insurance card
- Picture identification(accepted forms of ID include: driver’s license, state ID card, student ID, or passport)
- Medicine bottles from your current prescriptions
- Medical records, including MRI reports, X-rays, laboratory tests and office notes form other medical facilities where you have received treatment(These are critical part of evaluation.)
In order to provide a proper and thorough evaluation, we ask that you complete the forms listed below prior to your first appointment.
Please bring these items to your scheduled appointment:
- Insurance card — auto and health, if applicable
- Picture identification (accepted forms of ID include: driver’s license, state ID card, student ID, or passport)
- Medication bottles from your current prescriptions
- Medical records, including MRI reports, X-rays, laboratory tests and office notes from other medical facilities where you have received treatment. (These are a critical part of the evaluation.)
- Auto policy declaration page and ID
You will also need to provide the following information for your visit:
- Assigned accident claim number from YOUR auto insurance carrier*
- Date of accident (as listed on the police report)
- Copy of police or accident report
*Florida is a NO-FAULT state. You must report any accident injuries to YOUR insurance company.
In order to provide a proper and thorough evaluation, we ask that you complete the forms listed below prior to your first appointment.
Please bring these items to your scheduled appointment:
- Insurance card — auto and health, if applicable
- Picture identification (accepted forms of ID include: driver’s license, state ID card, student ID, or passport)
- Medication bottles from your current prescriptions
- Medical records, including MRI reports, X-rays, laboratory tests and office notes from other medical facilities where you have received treatment. (These are a critical part of the evaluation.)
- Auto policy declaration page and ID
You will also need to provide the following information for your visit:
- Assigned accident claim number from YOUR auto insurance carrier*
- Date of accident (as listed on the police report)
- Copy of police or accident report
*Florida is a NO-FAULT state. You must report any accident injuries to YOUR insurance company.
In order to provide a proper and thorough evaluation, we ask that you complete the forms listed below prior to your first appointment.
Please bring these items to your scheduled appointment:
- Insurance card — auto and health, if applicable
- Picture identification (accepted forms of ID include: driver’s license, state ID card, student ID, or passport)
- Medication bottles from your current prescriptions
- Medical records, including MRI reports, X-rays, laboratory tests and office notes from other medical facilities where you have received treatment. (These are a critical part of the evaluation.)
- Auto policy declaration page and ID
You will also need to provide the following information for your visit:
- Assigned accident claim number from YOUR auto insurance carrier*
- Date of accident (as listed on the police report)
- Copy of police or accident report
*Florida is a NO-FAULT state. You must report any accident injuries to YOUR insurance company.
