Download Patient Forms

The staff at David Gilbert’s office would like to take this time to extend a heartfelt welcome to you as a new patient in our practice. Seeing a doctor is not something that most people look forward to; however, we want you to know that you are important to us. Every effort will be made to make your visits comfortable and productive. We look forward to providing you with the best-trained technical staff and physician Florida has to offer.

Don't Forget to Bring...

Remember to bring these important things on your initial visit to our office:

  • Picture ID
  • Your insurance cards
  • Any studies/tests (ie. MRI, CT Scan) with the official report and images (CD or films) pertaining to your visit
  • Completed Patient Packet of forms
  • Please pay special attention when filling out your forms to the section on “Current Medications” and “Allergies”. This must be filled out completely in conforming with government requirements.

Remember these important things...

  • On EACH visit keep us updated on studies/tests/surgeries you have had since we last saw you and (especially if you travel north) try to bring copies of your studies/tests with the report back with you or have them mailed to us.
  • Feel free to call with any questions you may have. We will always do our best to get you the information you need.

Patient Packet

To save time on your initial visit, download the form to your computer, fill it out, and print the form on your printer. Please be sure to bring the forms, filled out and signed, to your appointment.

Download the Patient Packet

Our Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed, and how you can gain access to this information. Please review it carefully.

Download and Read our HIPAA Privacy Practices


To view or print these forms, you will need Adobe Acrobat Reader.
Click here to download it.