Patient forms in English and Spanish
Download your intake and HIPAA privacy forms in English or Spanish. Complete them before your appointment and bring them with you, or fax them to our office.
What to bring to your visit
- Your insurance card, if applicable
- A list of the medications you take
- Any hearing aids you currently use, and their charger if applicable
- Your completed intake and privacy forms
Returning your forms
- Fax them to (407) 604-6692Send your completed forms to our office fax.
- Or bring them with you715 Douglas Ave, Suite 45, Altamonte Springs, FL 32714. Inside the One Senior Place building, just north of Central Parkway.
Not booked yet?
Schedule your visit online or call 407-949-6737. We’re happy to help you choose the right appointment.

JayseeOwner, HAS
ToniHAS
GraceFront desk
FrancescaFront desk