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Specialists in Knee, Hip and Shoulder Replacement
Phone: 321.956.1501

The Arthritis & Joint Center of Florida Office Forms

In this section you will find forms that are needed for new patient vists and treatment. Please fill out all forms to the best of your ability. If you have any questions, please feel free to contact our office staff.

New Patient Form

Please fill out this form and bring it will you for your first visit. Please note that you will need to bring your insurance cards and photo identification to every visit.

Financial Policy

Please reveiw our financial policy. Sign and date the last page acknowledging that you have read and understood this policy.

Medical History

Please fill out this form and bring it will you for your first visit. Sign and date the form acknowleging that the information is correct.  
© Copyright 2009, Arthritis & Joint Center of Florida. All Rights Reserved.
2328 Medico Lane  •  Melbourne, Florida 32940
Phone 321.956.1501  •  Fax 321.956.1502

Disclaimer: This web site is designed for general information purposes only and does not provide medical advice. Information found in this site should not be used for diagnosing or treating a problem. If you think that you or someone you know may have a medical problem, you should consult a qualified medical health professional.

Arthritis and Joint Center of Florida is not responsible or liable for any information received from this web site or any web site with which we may link to. AJC makes no attempt to review or control the content of sites they link to. By linking to other web sites we are providing our readers with a service and are in no way endorsing or guaranteeing the quality of any services they may offer.
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