For your convenience, we have put links to forms that we use in our practice on this page. There are some forms that each new patient needs to complete, and the rest of the forms are organized according to practitioner. You can print out and complete the relevant forms prior to coming in for your first appointment.  If you have any questions, please do not hesitate to contact us at 352-337-0551.

Each new patient:

        HIPPA form.PDF

        New Patient History.pdf

Dr. Marchese:

        Marchese Financial Agreement.pdf

Dr. Buckley:

        Buckley Financial Agreement.pdf

        Buckley Treatment Consent.pdf

Dr. Picciocchi:

        Picciocchi Adult Form.pdf

        Picciocchi Child Form.pdf

        Picciocchi Treatment Consent.pdf

        Picciocchi Financial Agreement.pdf

Dr. Ketterson:

        Ketterson Adult Form.pdf

        Ketterson Adolescent Form.pdf

        Ketterson Financial Agreement.pdf

        Ketterson Consent Form.pdf

Dr. Watson:

        Watson Consent Form.PDF

         Watson History Form.pdf

         Watson Financial Agreement.pdf




Accessing the Forms : 
In order to access these forms, you will need a recent version of the Adobe Acrobat Reader.  Most users will already have this program installed on their computers.  Click on one of the above form links.  If the form does not open, you can download the latest (free) version of the Adobe Acrobat Reader program HERE.  With the Acrobat Reader program installed, clicking on the form's link should display the form in a new browser window and you can print it.  In some instances, some of our forms will allow users to enter the required information into the form on screen after which it may be printed.  Again, some forms cannot be completed on screen and must be printed and completed by hand (preferably in blue or black ink).