Patient Center

A little paperwork, taken care of in advance.

Save time at your first appointment by completing your new patient forms ahead of your visit.

Save time at your visit

Forms completed before you arrive mean your first appointment stays focused on your treatment — not the waiting room.

Secure & confidential

Your personal, medical, and insurance information is handled in full compliance with HIPAA privacy requirements.

Four simple forms

Registration, medical history, HIPAA acknowledgment, and financial agreement — all in one straightforward process.

Before you begin

What you'll need

  • A government-issued photo ID
  • Your current insurance information (if applicable)
  • A list of any medications you're currently taking
Your forms

Forms to complete

  • Patient registration & contact information
  • Medical and dental history
  • HIPAA acknowledgment and office policies
  • Financial agreement and insurance information (if applicable)
your first appointment

Before your visit

Completing these in advance means more of your first appointment can be spent talking through your treatment options with Dr. Duke — not filling out paperwork in the waiting room.

Fill Out Forms Call (941) 419-2151
Questions before your visit?

Call us at (941) 419-2151

Our team is happy to walk you through anything before your first appointment.

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Book a consultation
6600 University Parkway, Suite 101, Sarasota, FL
Mon–Fri · 8:00am – 4:00pm
(941) 419-2151 New patients welcome