Thank you to all of our new patients for choosing Dr. Quintal and Associates. For your convenience you may download, print and complete the intake forms listed below. Please bring the completed forms with you to your first appointment. If you have any questions while filling out the forms please do not hesitate to contact us at 941-907-0525.
- Inventory of Common Problems
- Financial Policy Agreement
- HIPAA Privacy Notice – Please be sure to read this document and sign the last page.
Again, if you have any questions while filling out the forms please do not hesitate to contact us at 941-907-0525.