850 308 1738
1020 North Palafox Street | Pensacola, Florida 32501
New Patient Forms

Surgical Clearance Form

Dr. LeBeau is implementing a new policy for surgical procedures. Attached a Surgical Clearance form that will need to be completed by your Primary Care Physician. We will need you to provide the completed document to the clinic prior to your pre-op appointment. We appreciate your time and assistance in this matter.


Other Patient Forms