(941) 923-9355 - Welcome to LONGEVITY WELLNESS CLINIC Sarasota, FL & ONLINE! EMAIL-office@longevitywc.com

New Patient Paperwork

New Patients

 

Are you new to our clinic? Please download, print, and complete the forms below. You can do this in the convenience of your own home or office! Having the forms filled out prior to your appointment will save you time in the office!
Make sure to fill out the paperwork as thoroughly as possible — this will help us provide you with the best possible care.

 

PPF – PPF Document

CommittmenttoHealth – Commitment to Health Form

ArbitrationAgreement– Arbitration Agreement and  Informed Consent to Treat

Consent-Form-HSRpatient– Consent Form for HSR/Endocardiograph

 

If you have any questions, please contact the office!  We are looking forward to seeing you!