Southwest Florida Medical Center

Robert S. Watine, MD

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Welcome to Southwest Florida Medical Center for Age Management, Wellness and Rejuvenation!

Please dowload and fill out the following forms and bring them with you to your first visit. If you are unable to download these forms, please come 15 minutes early to your appointment and you can fill out the forms when you get to our office.

Please remember to bring a photo ID and your insurance cards with you as well.

Co-pays, Co-Insurance and Deductibles are collected on date of service.

For new patient forms, click on this link to download adobe reader if you don't have it installed on your computer. http://get.adobe.com/reader/


Document Library

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DocumentPatient Information FormPatient Information Form
DocumentHIPAA Privacy NoticeHIPAA Privacy Notice
DocumentFinancial PolicyFinancial Policy
DocumentMedical HistoryMedical History
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