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Providers
Payal Patel, MD
Saumeel Mehta, MD
Kwisa Davis, MD
Lauren Calhoun DNP, APRN, CPNP-PC
Juliana Chaves MSN, APRN, CPNP-PC
Kristina Black, MD
Forms And Policies
Patient Forms
Consent Form
Billing and Payment Policy
Office Insurance Policies
Patient’s Rights
Office Policies Statements and Guidelines
Self Pay Rates
Resources
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Immunization Schedule
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Events and Opportunities
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Scholarship Opportunity 2024
Locations
Lutz
Tampa
Wesley Chapel
Zephyrhills
Patient Payment
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Consent Form
Get to know
our office
and
our Providers
Consent Form
Ear Piercing Consent Form
Flu Vaccine Consent Form
HIV Testing Consent Form
Pregnancy Test Consent Form
Medical Consent Form
Waiver-Consent Form
Ear Piercing Consent Form