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NEW PATIENT

Welcome to our virtual office on the world wide web.  We are happy you are here.  Navigate through our web site and become familiar with our centre and staff.  To help our new patients and speed up the registration process, you can simply download two forms from this page.  Use Acrobat Reader ( a free software available on your desktop or here) to view the forms.  You can then fill out the forms at home and bring them with you on your first visit to our facility.   Be sure to use our new appointment scheduler to schedule your consultation with our surgeons. 

 

 

OPEN THE NEW PATIENT FORM

OPEN THE HISTORY FORM

You will need the Acrobat Reader program to view these forms.  Most computers have the program already installed.  If you need the free software, you can download the program here.

ANY QUESTIONS?   (727) 7895711 CALL US (727-789-5711)

 


 ©1996-2008 PHPSC   Palm Harbor Plastic Surgery Centre   35080 US 19 N Palm Harbor, FL  34684  ( 727)-789-5711.
Palm Harbor  |  Tampa |  St. Petersburg  |  Clearwater  |   Trinity |  Tampa Bay
 
Erel Laufer, MD, FACS l Jay H. Ross, MD, FACS l Jennifer Buck, MD, FACS
Reproduction, even partial, is strictly forbidden.