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New patients are asked to download the following forms to complete prior to your scheduled appointment. These forms are available in Adobe pdf format. If you do not have Adobe Acrobat Reader installed on your computer, click here for a free download.

   
New Patient Forms For:
   
Reggie M. Augusthy, DO
 
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Antonio J. Flores, MD Antonio J. Flores, MD
 
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Paul D. Fuchs, DO Paul D. Fuchs, DO
 
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Ronald D. Gardner, MD Ronald D. Gardner, MD
 
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Patrick B. Leach, MD
 
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Fletcher A. Reynolds, MD Fletcher A. Reynolds, MD
 
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P. Jeffrey Richards, MD P. Jeffrey Richards, MD
 
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Jeremy A. Schwartz, MD Jeremy A. Schwartz, MD
 
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Charles P. Springer, MD Charles P. Springer, MD
 
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Allen C. Tafel, MD Allen C. Tafel, MD
 
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  If Auto/Work Related Injury
   
  Form 1004 (pdf will open in separate window)
   

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2531 Cleveland Avenue, Suite 1  ●  Fort Myers, Florida 33901  ●  Phone: 239-334-7000  ●  Fax: 239-334-7070