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Licensed for Telehealth in Florida

The links below are to forms that our practice uses to register patients and to comply with federal privacy laws. All documents are in pdf format. You may print them out to complete at home at your leisure prior to your appointment.

Patient Registration Form (Demographic Information)

Privacy Policy (HIPAA)*

Protected Health Information (HIPAA) Consent Form*

Adult Health History

Pediatric Health History (Ages 1-17)

Consent for the release of your old records to Dr. Marchetti

Consent for the release of records from Dr Marchetti

 

New patients can also pre-register online. Click Here to go to the portal. On the main portal page, click "PRE-REGISTER" and enter your information.

 

*An explanation of HIPAA (or why there are so many forms to read and sign)