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    • Accord Medical Group – Habana
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Patient Registration Forms

Accord Medical Group in Tampa, Florida, welcomes you to our practice. Once you have made your initial appointment, you may pre-register by downloading, printing, and completing the forms below. Please be sure to bring them with you to your first visit, along with any diagnostic films or other test results that may have been ordered or performed by another physician. Completing the forms prior to your visit will help speed up the new patient registration process.

Downloadable Forms:

  • New Patient Registration (English)
  • New Patient Registration (En Español)

Please note: It may take a few moments to load the forms if you are using a slow internet connection. If you are unable to view the forms, you may need to download Adobe Acrobat for free by clicking on the icon below.

medical assistant working at Accord Medical Group

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  • home
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  • golden years program
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  • meet our team
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  • services
  • |
  • covid-19
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  • insurances accepted
  • |
  • contact us
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  • sitemap
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  • HIPAA Privacy Policy
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  • Accessibility Statement
  • Address: 6912 Sheldon Road, Tampa, FL 33615
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  • Phone: (813) 374-2406
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  • Fax: (813) 374-2407
  • Address: 5112 N. Habana Ave Tampa FL, 33614
  • |
  • Phone: (813) 374-2406
  • |
  • Fax: (813) 374-2407
  • Address: 6912 Sheldon Rd Town ‘N’ Country FL, 33615
  • |
  • Phone: (813) 374-2406
  • |
  • Fax: (813) 374-2407

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Accord Medical Group offers comprehensive primary care and on-site diagnostic services for older adults in Tampa, Florida.