Patient Forms, Map and Directions to Port Saint Lucie Office
Your first visit to South Palm Family Center establishes a vital foundation for our relationship with you. During your first visit, we make sure to obtain important background information about your medical history and give you time to get to know your doctor. Please arrive 15 to 30 minutes prior to your scheduled your new patient appointment.
Mission Statement
Our practice is working together to realize a shared vision of uncompromising excellence in medicine.
To fulfill this mission, we are committed to:
- Listening to those we are privileged to serve.
- Earn the trust and respect of patients, profession and community.
- Exceed your expectations.
- Ensure a creative, challenging and compassionate professional environment.
- Strive for continuous improvement at all levels.
Patient Forms
Please fill out these forms so we can expedite your first visit:
- Authorization for Release of Protected Health Information [PDF] | [ONLINE]
- HIPAA Notice [PDF] | [ONLINE]
- Notice of Office and Privacy Practices [PDF] | [ONLINE]
- Patient Registration Form [PDF] | [ONLINE]
- Release of Medical Information [PDF] | [ONLINE]
In order to view or print these forms in PDF format you will need Adobe Acrobat Reader installed. Click here to download it: 
What To Expect
Being well-prepared for your appointment will ensure that the doctor has all of the needed information to provide the best possible care for you. It also will help relieve any unnecessary anxiety you may be feeling. Educate yourself on your symptoms by reviewing the content on this Web site. Also, take some time to review our staff page and familiarize yourself with our doctor. We look forward to your first visit.