Please print these forms out and completely fill in the questions.
Then, you may either mail them back to us, you can bring the completed paperwork with you when you arrive (at least 15 minutes early for your visit), or you may fax or email them.
You will need Adobe Reader to view the forms, and if you do not have the Reader, you can click the link below to get it.
Please fax/e-mail the form to us, or you may bring it in the day of your appointment.
Please mail the forms to:
James J. Macool, M.D.
765 Douglas Ave.
Altamonte Springs, FL 32714
Or Fax them to: (407) 774-7743 or Email them to: firstname.lastname@example.org
If you have any symptoms (shortness of breath; dizziness/fainting; pain/numbness in your legs,arms,hands,feet; chest pains; vertigo or balance issues, etc.) please let us know immediately.