Dr. Rodwick, HIV AIDS, transgender, hepatitis C, Clearwater, FL, AAHIVM, WPATH, testosterone, Sculptra

Below are the forms that we need to have completed prior to your first visit. It will be time saving if these forms are completed before the first visit so that you do not have to complete them while you are in the office. Once they are completed, you may e-mail them back to the office, or print them to either mail back or bring with you.

Medical History - almost everything about your health and factors that may affect it.

Insurance Form - the details about your insurance and permission for the office to file insurance claims for you and receive payment directly from your insurance company.

Privacy Practices - the policies that the office follows to keep your health information confidential.

Medical Release Form - authorization to obtain medical records and test results from previous physicians and facilities.

Advanced Directives - whether you already have these in place and who you have indicated to contact if you cannot make decisions for yourself. For more information on advanced directives, click here.

 
   
The fine print: The content of this website is provided for general informational purposes only and is not intended as, nor should it be considered a substitute for, professional medical advice. Do not use the information on this website for diagnosing or treating any medical or health condition. If you have or suspect you have a medical problem, promptly contact your professional healthcare provider.