OFFICE LOCATION:

Dr. Diana Gorokhovsky  

10075 Jog Road - Ste 101 

Boynton Beach, FL 33437

Phone: 561-734-5484  

Fax:      508-984-5893

 

 

 

 

 


 

Patient Forms

Florida Medical X-Ray Equipment


Medical Forms listed below

 

 

Forms listed below:

 

•  New Patient Forms

 

•  Patient Demographics Form

 

•  Medical record Release Form

 

•  Patient Contact Form