Manatee Primary Care

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  • Location and Hours
  • Meet the Physicians
  • Services
  • New Patient Package
  • Online Bill Pay

New Patient Package

Please download and print the New Patient forms below. Fill out the relevant fields on each form and bring them with you at the time of your appointment.

  • Welcome Letter
  • Patient Medical and Family History
  • Patient Demo Form
  • Patient Consent to Receive Mail and Telephone Messages
  • Health Records Online Now Available
  • Health Records Online Enrollment Form
  • Consent for Purposes of Treatment, Payment and Healthcare Operations
  • Authorization to Use and Disclose Health Information
  • Assignment of Insurance Benefits
  • Meet the Physicians
  • Services
  • Location and Hours
  • Nondiscrimination Notice
  • Language Assistance

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