ACCEPTING NEW PATIENTS.....SCHEDULE NOW!!

Call or Text: 407-777-2673

  • Home
  • About Us
  • Services
    • COVID-19 Testing
    • Primary Care
    • Functional Medicine
    • Acupuncture
    • Hormone/Thyroid/Adrenal
    • Facial Acupuncture
    • Weight Loss Program
    • Pain Management
    • Injection Therapy
    • DOT/CMV Physicals
    • School & Sports Physicals
    • Pre-Employment Physicals
    • Lab Options
    • Florida Scope of Practice
  • Patient Information
    • Patient Forms
    • Patient Portal
    • Insurance Information
    • Fee Schedule
    • Pharmacy/Fullscript
    • No Surprises Act
    • FAQ
  • Contact Us
  • Free Consult
  • Schedule Online
  • More
    • Home
    • About Us
    • Services
      • COVID-19 Testing
      • Primary Care
      • Functional Medicine
      • Acupuncture
      • Hormone/Thyroid/Adrenal
      • Facial Acupuncture
      • Weight Loss Program
      • Pain Management
      • Injection Therapy
      • DOT/CMV Physicals
      • School & Sports Physicals
      • Pre-Employment Physicals
      • Lab Options
      • Florida Scope of Practice
    • Patient Information
      • Patient Forms
      • Patient Portal
      • Insurance Information
      • Fee Schedule
      • Pharmacy/Fullscript
      • No Surprises Act
      • FAQ
    • Contact Us
    • Free Consult
    • Schedule Online

Call or Text: 407-777-2673

  • Home
  • About Us
  • Services
    • COVID-19 Testing
    • Primary Care
    • Functional Medicine
    • Acupuncture
    • Hormone/Thyroid/Adrenal
    • Facial Acupuncture
    • Weight Loss Program
    • Pain Management
    • Injection Therapy
    • DOT/CMV Physicals
    • School & Sports Physicals
    • Pre-Employment Physicals
    • Lab Options
    • Florida Scope of Practice
  • Patient Information
    • Patient Forms
    • Patient Portal
    • Insurance Information
    • Fee Schedule
    • Pharmacy/Fullscript
    • No Surprises Act
    • FAQ
  • Contact Us
  • Free Consult
  • Schedule Online

PATIENT FORMS

Paperwork must be received prior to your appointment. Our New Patient Paperwork is only available online through our website. Please complete these forms as soon as you have scheduled your appointment. 


Paperwork is not completed in our office. If you arrive to your new patient appointment and have not completed your paperwork, your appointment WILL be rescheduled and you will be charged a fee of $100 (see our 24 hour appointment policy). We make multiple attempts to contact you prior to your appointment to complete the paperwork. Our physicians review your paperwork prior to your appointment; a very important part of your treatment plan. 


 

In an effort to provide excellent care to our patients, our schedule is kept on time and is strictly structured. This is so we can focus time and attention to each patient in a non-rushed manner. 



NEW PATIENT PAPERWORK FORMS

This is for New Patients for:

  • Primary Care
  • Functional Medicine
  • Acupuncture
  • Weight Loss Patients
  • School/Sports & Employment Physicals


CLICK HERE: NEW PATIENT PAPERWORK

COSMETIC FACIAL ACUPUNCTURE INTAKE FORMS

This is only for Cosmetic Facial Acupuncture Patients. 

CLICK HERE: COSMETIC FACIAL ACUPUNCTURE FORMS

INJECTION ONLY INTAKE FORMS

This is only for patients that are receiving injections only and not being seen for anything else. 

CLICK HERE: INJECTION ONLY FORMS

OTHER Patient forms

DOT/CDL Driver Form (pdf)Download
Authorization to Release/Obtain Medical Records (Medical Records Release Form) (pdf)Download
Authorization to Release Medical Information (HIPAA Authorization Form) (pdf)Download
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Dawson Integrative Medical Center, LLC.

Located in Conway Professional Building 3203 South Conway Road Suite 204-A, Orlando, Florida 32812

Call or Text: 407-777-2673

Copyright © 2023 Dawson Integrative Medical Center, LLC. - All Rights Reserved.