Compassionate Care of Florida
Dr. Joseph Dryer D.O.
Compassionate Care of Florida
Dr. Joseph Dryer D.O.
New Patient Information / Forms:
New Patient Information / Forms:
Primary care new patient forms
Primary care new patient forms
If you are seeing us for direct primary care, these are the forms you need.
1.) New patient membership agreement:
https://drive.google.com/open?id=1aAUXK1L-Vti8u8RI6wbEnP79g-jb0QGN
2.) Recurring payment form:
https://drive.google.com/open?id=1g26sW4cJLwx6wCN89T2KfkNg4IWwyhia
3.) Private Medical Services to a Medicare member (only download and fill out if you are enrolled in Medicare):
https://drive.google.com/open?id=1RyZSdemfRZShAwZbbOQbCtutCvGoWwbc
If you are seeing us for direct primary care, these are the forms you need.
1.) New patient membership agreement:
https://drive.google.com/open?id=1aAUXK1L-Vti8u8RI6wbEnP79g-jb0QGN
2.) Recurring payment form:
https://drive.google.com/open?id=1g26sW4cJLwx6wCN89T2KfkNg4IWwyhia
3.) Private Medical Services to a Medicare member (only download and fill out if you are enrolled in Medicare):
https://drive.google.com/open?id=1RyZSdemfRZShAwZbbOQbCtutCvGoWwbc
Medical cannabis new patient forms
Medical cannabis new patient forms
If you are seeing us for medical cannabis, these are the forms you need.
1.) Medical Cannabis intake form:
https://drive.google.com/open?id=1WJ7Wz2_KL-q8O-vbl1ogw6sW6b2CbE4i
2.) HIPAA Privacy authorization form:
https://drive.google.com/open?id=1f6qtbJj31xuUKjif41qnnPFMJq793xgM
3.) Medical Cannabis consent form (I will explain it to you in person at your visit):
https://drive.google.com/open?id=1H5svANa3GAjBC5XlD--DHq-sjJyNJ4jL
If you are seeing us for medical cannabis, these are the forms you need.
1.) Medical Cannabis intake form:
https://drive.google.com/open?id=1WJ7Wz2_KL-q8O-vbl1ogw6sW6b2CbE4i
2.) HIPAA Privacy authorization form:
https://drive.google.com/open?id=1f6qtbJj31xuUKjif41qnnPFMJq793xgM
3.) Medical Cannabis consent form (I will explain it to you in person at your visit):
https://drive.google.com/open?id=1H5svANa3GAjBC5XlD--DHq-sjJyNJ4jL