Stangherlin Clinic offers our patient form(s) online so you can complete it in the convenience of your own home or office.
| If you do not already have AdobeReader® installed on your computer, download it now. |  |
| Download the necessary form(s), print it out and fill in the required information. | |
| Fax us your printed and completed form(s) or bring it with you to your appointment.
(813) 983 1441 -fax# |
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New Patient Health History Form – Required
Download & Print Form
