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Prior to the date of your visit, for all patients, please complete the following:

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New patients only, please complete the following:

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1. Click below and Complete the New Patient Questionnaire.

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2. Click below to sign the Authorization & Release form for medical records.

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3. Click below to sign legal documentation - for all doctors' appointments except Psychology.

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4. Please complete the following form with how you are feeling currently:

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*Click below to sign legal documentation for Psychology,
with Dr. Shelley Tindell-Nodine.

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Immediately following your visit, please sign the Disclosure Form below for
Auto Accidents.

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For all Independent Medical Examinations, Examinee must sign the following: 

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For all Expert Evaluations, Examinee must sign the following: 

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Please read the Notice of Privacy Practices at your convenience.

Neurology and Physical Therapy Centers of Tampa Bay
Tampa, FL
813-831-6622
2835 W. De Leon St.
Suite 205
​Tampa, FL  33609

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