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Renal Care and Treatment Forms for Patients

Forms can be downloaded and completed.

Release Form
Advanced Directives
Personal Medical History
Acknowledgement of Receipt Form
Patient Registration
Pregnancy Questionnaire
Notice of Privacy Practices
Nurse Holding Medical Chart
Patient Portal
Pay Your Bill

Main Office

Phone: (352) 622-4231 | Fax: (352) 622-0518

Address:
2980 SE 3rd Ct.
Ocala, FL 34471

Hours:
M-Th: 8 AM - 5 PM
Friday: 8 AM - 3 PM

West Office

Phone: (352) 622-4231

Address:
8613 SW 103rd St Rd
Ocala, FL 34481

Hours:
M-Th: 8 AM - 5 PM
Friday: 8 AM - 3 PM

Dialysis Vascular Access Center

Phone: (352) 435-4577

Address:
1330 Citizens Blvd. Suite 201
Leesburg, Florida 34748

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(352) 622-4231

Email (for referral use only)
  • Home
  • About
  • Our Team
  • Renal Information
  • Patients
  • Dialysis Vascular Access Center
  • Forms
  • Contact

© 2022 Ocala Kidney Group

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