13940 North US Hwy 441Building 700, Suite 702Lady Lake, FL 32159
p. 352.751.6005 • f. 352.751.5168
The files below contain all the required new patient paperwork. Please print out and complete the forms that pertain to your insurance situation. The completed forms should be taken with you on your initial appointment with All Coast Therapy.
All the forms for Non-Medicare patients are in this document.
All the forms for patients on Medicare are contained in this document.