Click on the links below to open forms in PDF format.

• New Patient Demographic and Medical History Forms

• Notice Of Privacy Practices For Protected Health Information

• Patients' Rights and Responsibilities
                                            
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Michael P. Zahalsky, M.D., P.A. • 2951 NW 49th Avenue Suite 308 • Ft. Lauderdale, FL 33313
Phone: (954) 714 - 8200 Fax: (954) 714 - 8222