new patients welcome  Clermont, FL
Here at Clermont Internal & Cosmetic Medicine we are always accepting new patients. Regardless of whether you are sick or are simply due for a regular check-up, we are happy to welcome you to our office. We know going to the doctor can be a little overwhelming at times, so we are happy to provide you with our new patient forms ahead of time so that you can fill them out prior to your appointment and save you time during your visit.

Remember to bring a list of any medications you may currently be taking as well as any previous medical records you may want to provide. Our mission is to provide quality care to our patients, and we are happy to help you in any way we can. For more information or to request an appointment, contact us today at (352) 404-5174.

Patient Forms

The following forms can be downloaded to your computer and printed at home. By filling out these forms ahead of time, you will save a significant amount of time during your visit. Please be prepared to provide this information to our office along with your current medical insurance information. If you have any questions when filling out these forms, please do the best you can and our staff will assist you with your questions on the day of your visit.

Form Name PDF Online
Medical History Download Open
Medical Record Release Download Open
HIPAA Download Open
Payment Policy Download Open
Patient Demographics Download Open

We understand the vicissitudes of life, so we do not charge you for “no shows”, but we will discharge any patients from the practice with multiple “no shows”. We pride ourselves in seeing a limited number of patients per day in order to provide the best possible care to our beloved patients. Any appointment time that is squandered deprives another patient of the opportunity to be cared for. Please carefully read the following policies so that you may be well informed of our mode of operations and practices.