Patient Forms

Save time at your visit by downloading and completing your forms before you arrive. You can print and bring them to your appointment or email them to us ahead of time.

If you have any questions about which forms you need, please call us at 727-446-1097.

New Patient Packets

Choose the packet that best matches your visit type. Each packet includes the forms needed for your first appointment.

Allergy, Asthma, and Immunology Forms

These forms help us understand your symptoms, triggers, and health history so we can create a personalized care plan.

Weight Management and Metabolic Health Forms

If you are joining our weight management program or starting GLP-1 medications, please complete these forms before your appointment.

Menopause and Hormone Health Forms

General Office Forms

How to Return Your Forms

You can return your completed forms in any of the following ways:

  • Bring printed copies with you to your appointment
  • Fax to (833) 941-2542
  • Upload through the patient portal
  • Email to our secure address: [email protected]

Completing your forms ahead of time helps us prepare for your visit and respect your time in the office.

Ready to Take the Next Step?

Whether you need allergy relief, primary care, weight management, or hormone support — we’re here to help.

Whether you need allergy relief, primary care, or hormone balance - we're here to help.

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CONTACT US

  • 727-446-1097

  • 833-941-2542

  • Clearwater: 708 Druid Rd E, Clearwater, FL

    33756

  • Hours: Mon & Thu 9-5:30 | Tue & Fri 9-5 | Wed 9-4:30

  • Palm Harbor: 2445 Tampa Rd, Suite C, Palm

    Harbor, FL 34683

  • Hours: Mon & Thu 9-5:30

© 2025. Clearwater Family Medicine and Allergy. All rights reserved.

© 2025. Clearwater Family Medicine and Allergy. All rights reserved.

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