Internal Medicine
1142 E. Broward Blvd, Fort Lauderdale
Medical History Form
Please select Medical History above, open the attached form, print it, fill it out and bring it to your first visit with a picture ID and your Insurance card.
“
Wherever the art of medicine is loved, there is also a love of humanity."
Hippocrates
Contact us
- 954-888-8958
- [email protected]
- 1142 E. Broward Blvd., Fort Lauderdale, Fl 33301