Our Physicians Patient Pre-Registration Health Information Centers of Excellence Foundation
University Community Hospital
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University Community Hospital
3100 E. Fletcher Ave. Tampa, FL 33613
University Community Hospital - Carrollwood
7171 N. Dale Mabry Highway, Tampa, FL 33614
University Community Hospital - Pepin Heart
3100 E. Fletcher Ave. Tampa, FL 33613
University Community Hospital - The Women's Center
3100 E. Fletcher Ave. Tampa, FL 33613
University Community Hospital - Ellis Memorial
1395 S Pinellas Ave. Tarpon Springs, FL 34689
Long Term Acute Care
9441 Health Center Dr. Land O' Lakes, FL 34637




Forms
For your convenience, you can download and print the following forms to fill out prior to your appointment to either the Diabetes & Endocrinology Institute or one of the physician offices.

These forms require a PDF reader such as Adobe Reader. If you do not have one installed on your computer, you may download the free program here.

Notice of Privacy Practice

Outpatient Prescription

Physician Practice Patient Packet

 

diabetes education   lifestyle changes weight management | exercise  | nutrition insulin therapy  |  blood sugar levels  a1c levels | forms

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