Specialized Healthcare Made Simple
Patient Forms
Below is a list of links that you can select to download. We ask that you please fill out before you visit the office and bring any documentation along you feel necessary.
New Patient Forms
Dr. Miller and Robert Ortiz
New Patient Forms
Dr. Conner, Dr. Robeson, Dr. Masters, Bancroft, Alexis Wood, Justin Casey, and Ashley Maddox
Below is a list of Policy Forms and other forms you may need.
Medical Services
- Primary Care
- Cardiology
- Vaccines & Immunizations
- Endocrinology
- Infectious Disease
Patient Resources
- Patient Portal
- Insurance & Billing
Contact Us
- 1118 Ross Clark Cir #303, Dothan, AL 36301
- +1(334) 794-3192
- Monday-Thursday 7:45-5:00 Friday 7:45-12:30
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