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New Patients

Dr. Dounchis welcomes new patients. Here you will find forms that can be printed and completed prior to your initial appointment or you can choose to fill them out in our office on the day of your scheduled visit. Please be sure to bring any pertinent medical records, medication lists, office notes, surgery reports and any prior imaging studies and reports. We also ask that you provide us with current insurance card(s) and a valid photo i.d.

Dr. Dounchis and his team would like to welcome you to our practice and look forward to caring for your orthopedic needs.

Please view our printable forms that can be filled out prior to your visit.

 History and Physical Form
Front Back HIPPA Form (Front & back) Medical Info Medical Information Release Form
 239.624.1700
Jon Dounchis, M.D. © 2010 All rights reserved.