5831 Bee Ridge Road Suite 210 Sarasota, FL 34233
Phone: (941) 379-8481 Fax: (941)379-8142

 

New Patient Forms:
New Patients: Please print and complete these forms. Bring completed forms with you to your first appointment.
 
Form
PDF Format Word Format
1 Authorization to Use and Disclose personal information to family, or other designated person .pdf .doc
2 Financial Policy
3 New Patient Information Form
4 Authorization to Obtain Medical Records from other physicians .pdf .doc
5 Dr. Harris's New Patient Forms .pdf  
       
All Forms may be downloaded using Adobe Reader. You may obtain Adobe Reader for no cost at get Adobe
General Forms & Instructions:
20
Colonoscopy/Endoscopy information & instructions
.pdf  
21 Preparation for Colonoscopy .pdf