New Patients Forms
Welcome to the office of Dr. Douglas C. Wendt, Jr!
For us to provide you with the best possible treatment and care, please complete the following Patient Forms prior to your first appointment. You have the option of filling it out electronically and then printing OR printing and completing by hand. If you are unable to do either prior to your first visit, please arrive 20 minutes before your appointed time in order to complete them in our office. This will enable us to seat you in a timely manner.
If you have any questions about this required information, please call the office at
813-684-8085. My staff will be very happy to help.
We look forward to seeing you soon!
Please print and fill out these forms so we can expedite your first visit:
- Patient Registration Form - Fill Online and Print
- Patient Registration Form - Print and Fill
- Health Questionnaire - Fill Online and Print
- Health Questionnaire - Print and Fill
In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it.
8AM - 5PM
8AM - Noon
Brandon, FL. 33511