13462 Taft Street, Brooksville, Florida 34613 Phone: (352) 600-8822
All Family Walk-In Clinic
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This is your HIPPA Privacy form. Sign, print, and bring to your appointment.
This is your new patient forms. Info, Demographics and medical history. Please fill out , print and bring to your appointment.
This is your Consent to treat form. Please fill out, print and bring to your appointment.
This is your patient questionaire. This will help us better serve you day of your visit. Please fill out top portion, print and bring to appointment.