Internal Medicine • Primary Care • Premiere Care
Altamonte Medical
Associates, P.A.
Call Alafaya Orlando Office Call Altamonte Springs Office
New Patient Forms

Complete your intake packet before your visit.

To ensure a seamless and personalized experience, we invite you to complete your intake prior to your visit. This allows our physicians to fully prepare and maximize your time.

Open Digital Packet Download Printable 8-Page Intake Packet

Complete the digital packet online, or download and print the 8-page packet before your appointment.

What’s included

  • Patient Information Form
  • Patient Data Sheet and Medical History
  • Family History and Current Lifestyle
  • Notice of Privacy Practices Acknowledgment
  • Authorization to discuss protected information
  • Authorization for release of medical information
  • AI Scribe Consent and Authorization Form

AI Scribe Consent Form

Patients may review and sign the AI Scribe Consent and Authorization Form before their visit. This form explains the use of AI-assisted documentation, confirms that the provider remains responsible for care and documentation, and gives patients the option to consent or decline.

Office support

Alafaya Orlando Office
1864 N. Alafaya Trail, Suite B
Orlando, FL 32826
(407) 384-1414
Altamonte Springs Office
631 Palm Springs Drive, Suite 117
Altamonte Springs, FL 32701
(407) 339-5600