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Platinum Primary Care – Asha Tota-Maharaj, MD
Platinum Primary Care – Asha Tota-Maharaj, MD
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Platinum Primary Care – Asha Tota-Maharaj, MD
  • About Us
    • Blog
  • Specialties
  • FAQ’s
  • Patient Forms
  • Contact Us
Platinum Primary Care - New Patient Forms

Patient Forms

Patient Registration Forms

If you are a new patient, please fill out the registration forms listed below in advance of your appointment to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment.

  • New Patient Registration
  • Patient Health Questionnaire
  • Consent for Medical Records
  • Patient Bill of Rights
  • Covid Screen

Platinum Primary Care

PLATINUM PRIMARY CARE
2071 Dundee Drive
Winter Park, FL 32792

Phone: 407-974-7856

Outstanding and compassionate medical care. Every day. One patient at a time.

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New Patient?

Platinum Primary Care welcomes new patients! If you’ve already scheduled an appointment, save time during your first visit by filling out your patient information forms ahead of time by visiting our Patient Forms page. If you need to schedule an appointment, please Contact Us.


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