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Below is a list of our Patient Forms.


New Patient Welcome Letter and Emergency Guide
Behavioral Health Patient History
Consent and Demographic Information
Adult History Form
Pediatric History Form
HIV History Supplement Form
Sliding-Fee Scale Application(coming soon)

 

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Our Treasure Coast Locations

Fort Pierce
725 North U.S. 1
Fort Pierce, FL 34950
772-468-9900

Vero Beach
981 37th Place
Vero Beach, FL 32960
772-257-5785

Admin. Office
603 N. Indian River Drive, Suite 102
Fort Pierce, FL 34950
772-925-8200