727-507-8555

2878 Roosevelt Boulevard, Clearwater, FL 33760

Phone: 727-507-8555  Fax: 727-532-0091

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International Health Clinic

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Listed below are client intake forms which needed to be filled out prior to the first appointment. You may download these forms and complete them in advanced to reduce waiting time upon your first visit:

Patient Registration/ Insurance Verification Forms

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You may also submit these forms via fax at 727-532-0091 or email at acuandphy.gmail.com.