New Patient Forms in Clearwater

Download New Patient Registration Packet

Welcome to Total Family Wellness! As a new patient you can save time during your first appointment by completing the Patient Registration Packet prior to your visit. Simply print out the Patient Registration forms, fill in the information requested, and bring the completed form with you to your appointment. Please print the forms on white paper only.

New Patient Registration

Pediatric New Patient Registration

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*All indicated fields must be completed.
Please include non-medical questions and correspondence only.

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Office Hours

Monday - Thursday :
9:00 AM - 12:00 PM
1:30 PM - 5:00 PM

Friday - Sunday : Closed

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