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Our phone number is 941-685-8914.

Our fax number is 1-866-894-6524.

Dr. Leggett is now dedicating her practice, full-time, to caring for patients at Heartland Health Care & Rehabilitation Center and other skilled nursing facilities.  Therefore, we are not accepting any new home-care or ALF patients at this time.

Thank you,

Leggett Medical Group

No Need For "New Patient"
Medical History Forms!

Transition Physician realizes how hard it is to fill out new forms!

For this reason, we do not want you to worry about filling out more medical forms!  We will obtain most of your medical information from you at your initial home visit and from your medical records.

In order to obtain a copy of your medical records, all we need is some basic information and your permission to obtain your records from the hospital and/or rehab facility (or your PCP).  If we have already made an appointment to see you, and you haven't already done so, please fill out the Patient Information Form and the Consent for Treatment Form and fax them to us.  See the links below.

      It is our goal to make things as easy as
                          possible for you!

The only forms we will need before the Transition Physician sees you for your initial visit are the Patient Information Form and Consent for Treatment Form, which will allow us to obtain medical records from the facility you are leaving (or have left).

Click each link below to download the forms:

Patient Information Form

Consent for Treatment Form

Print the Forms, fill them out, then fax the completed forms to (866) 894-6524

[Note: The Consent for Treatment Form above requires Adobe Reader or some other program that will open a PDF file.  If you do not have such a program, you can download and install Adobe Reader for free by clicking on this link: Get/Install Adobe Reader Here]

Other than filling out these two forms, YOUR job is to relax, build strength and get well! 

Your Transition Physician will obtain your medical history
from you personally at your initial visit, giving your Transition Physician an opportunity to really get to know you!

We look forward to seeing you!