Patient Forms

If you prefer to download, print and complete the new patient forms, please click the links below:

English Downloadable Forms

Spanish Downloadable Forms | Hoja De Registro De Pacientes


About Your First Visit

In order to help your experience with us be as comfortable as possible, here is some information about your first visit.

Depending on your situation, your doctor will ask you a series of questions about your health history, symptoms and other related questions. Then, you will undergo a physical examination that will assist the physician in determining more about your condition.  After the physical examination, the doctor will speak with you and give you some recommendations for treatment.


Please bring the following with you to your appointment.  For your convenience, you can download our forms and fill them out prior to coming in for your appointment:

Health Insurance Card/Information

Your Photo ID

Your co-payment, if indicated on your insurance card

A friend or family member, if needed, to take notes/help with questions

A list of all medications you are taking

A list of your questions/concerns

Copies of records from doctors related to your visit with us



Cancellation of an Appointment

If it is necessary for you to cancel your scheduled appointment, we require that you call the office at least one (2) working days in advance. Appointments are in high demand, and early cancellation will give another person the possibility to have access to timely care.


How to Cancel Your Appointment

To cancel an appointment, please call 407-384-7388. Please speak directly with a scheduler. Cancellations via email cannot be accepted at this time.


Late Cancellations or No Show

Patients failing to cancel their appointment as indicated above (at least 48 hrs in advance) will be billed an administrative fee: Office visit: $25; Endoscopic procedure: $100


All fees must be paid in full prior to the scheduling of future appointments.


Thank you for your cooperation




 Main Office 100 North Dean Road  •  SUITE 101  •  Orlando, FL 32825   |  360 Douglas Avenue, Altamonte Springs, FL 32714    |  721 W. Colonial Dr. •  Orlando, FL 32804

 ph 407.384.7388   |   fax 407.384.7391  |  HOURS: Monday through Friday  8:00 am - 5:00 pm  |  Saturday (at Dean Road Office)_8:00 am - Noon

Copyright Digestive and Liver Center of Florida, P.A. 2014