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Forms and Resources


Forms

Please print and fill in theses forms and bring them with you to your first appointment.

  • Adult Clinical Summary (pdf) - This form provides Surgical Specialists of Florida Hospital with your and your family’s medical history. It also provides our staff with your current health maintenance, including medications and recent procedures or conditions.
  • Consent to treat and authorizations (pdf) - This form gives consent for medical treatments and diagnostic examinations to Surgical Specialists of Florida Hospital.

Resources

For more information about Florida Hospital, please visit www.FloridaHospital.com.

The following websites offer valuable educational information on a variety of general surgery procedures.

GERD (Anti-reflux surgery, surgery for heartburn)
Laparoscopic Gallbladder Removal
Laparoscopic Surgery for Adrenal Gland Removal
Laparoscopic Surgery on the Colon and/or Rectum

Laparoscopic Surgery for Inguinal (Groin) Hernias
Laparoscopic Surgery on the Spleen

 

 

Staff and patient


Dr. Simmonds and patient

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2501 N. Orange Avenue Suite 411 Orlando, FL 32804
Hours of Operation: Monday – Friday, 8am to 5pm