New Patient Forms

All new patients will need to complete a demographic form and appropriate intake form.  Please download the demographic and intake forms, and bring these completed forms with your I.D. and insurance card to your first appointment. These forms may also be completed and faxed to the office prior to your first appointment to expedite your check-in process.


Established Patient Forms

If you wish to have your records released to another party, please download the form below, complete the form and fax it to the office with a written request to forward your records. Please allow at least 14 days for your request to be processed.





What to Bring

  • List of Medications
  • Completed intake forms
  • Previous Evaluations
  • Picture ID
  • Insurance Card
  • Form of Payment

    

 



Directions



From Downtown Orlando area, take I-4 East to exit 90A (Maitland Blvd East). The ramp merges off to the right and puts on Maitland Blvd (414) East. Follow to the second traffic light and turn right onto Maitland Avenue (you will see the Jewish Community Center on the right hand corner of this intersection). Once on Maitland Avenue, go through the traffic light at Sandspur, and take your next left onto Sybelia Ave. We are located in Maitland Office Park (the three story white building on the northeast corner of Sybelia Ave and Maitland Avenue). We are in suite 110.

 

From Lake Mary/Sanford area, take I-4 West to exit 90. Take a left at the light on the exit ramp (Maitland Blvd East). Stay on Maitland Blvd. (414 East) to the third traffic light and turn right onto Maitland Avenue (you will see the Jewish Community Center on the right hand corner of this intersection). Once on Maitland Avenue, go through the traffic light at Sandspur, and take your next left onto Sybelia Ave. We are located in Maitland Office Park (the three story white building on the northeast corner of Sybelia Ave and Maitland Avenue). We are in suite 110.

 

From Winter Springs/Casselberry/Fern Park, take 17-92 South. When approaching the Downtown Maitland area turn right at Horatio Avenue. Take a right at the next traffic light (Maitland Ave). The second street on your right is Sybelia Ave. We are located in Maitland Office Park (the three story white building on the northeast corner of Sybelia Ave and Maitland Avenue). We are in suite 110.

 

From Altamonte Springs/Apopka, take 436 East to Maitland Avenue. Follow along Maitland Avenue and cross Maitland Blvd (you will see the Jewish Community Center on your right side as you cross the intersection). Go through the traffic light at Sandspur, and take your next left onto Sybelia Ave. We are located in Maitland Office Park (the three story white building on the northeast corner of Sybelia Ave and Maitland Avenue). We are in suite 110.

 

From Oviedo/Winter Park/ Aloma, take 436 to Howell Branch Road and head West. Howell Branch Road turns into Horatio Avenue as you cross from Winter Park into Maitland. Cross over 17-92 and the next light is Maitland Avenue. Turn right onto Maitland Ave. The second street on your right is Sybelia Ave. We are located in Maitland Office Park (the three story white building on the northeast corner of Sybelia Ave and Maitland Avenue). We are in suite 110.

 

From Downtown Winter Park/College Park, take 17-92 North to Horatio Avenue and turn left. The next light is Maitland Avenue. Turn right onto Maitland Ave. The second street on your right is Sybelia Ave. We are located in Maitland Office Park (the three story white building on the northeast corner of Sybelia Ave and Maitland Avenue). We are in suite 110.