New Patient Registration

For your convenience, you can now fill out all of our New Patient registration forms online and submit them to us electronically. Filling these forms out and submitting them to us prior to your first visit will allow us to see you much more quickly when you arrive.

To fill out the forms, click on "New Patient Packet" below. Simply place your cursor in the appropriate field and start typing. To move to the next field, press the tab key. Wherever there is a box to be checked, simply click on the appropriate box. Any signatures required will be taken care of at the office.

Once you are done, scroll to the bottom of the last screen and click on "Submit Form". The forms will then be submitted to us immediately in a secure, encrypted format.


adobe These forms require Adobe Acrobat Reader.
Click the Adobe logo to download.

1286 Timberlane Rd.
Tallahassee, FL 32312
Phone: (850) 893-0711
Fax: (850) 668-8953
info@rmurrell.com