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Intake Forms

Thank you for your interest in Prompt Primary Care of Ocala. We look forward to being your family care center.

If you have made an appointment, it is best to arrive 15 minutes early to fill out necessary forms. Please bring your insurance cards with you and a list of any medications that you are currently taking.

Co-payments must be paid at the time of service. Patients are responsible for co-payments or deductibles not covered by health insurance.

New patients and walk-ins are always welcome, but if you’d like to schedule an appointment, please contact the office and our staff will be happy to assist you.

For your Convenience, we have included our Initial New Patient Paperwork for you to download and fill out in advance if you choose. Please print out each form and fill out completely, as all forms are required. This will save time on your initial visit to the office. You are also welcome to fill the forms out and drop them off prior to your visit if you happen to be in the area. Thank You.

Authorization Form

Authorization Form 2

New Patient Form

Patient Responsibilities Page 3


Directions To Prompt Primary care