Patient Packet Part 1


Thank you for choosing Florida Neurovascular Institute for your neurological care.

Please fill up your medical information prior to your visit.

Please return this form electronically 48 hours prior to visit.

Please remember to bring with you the following:
 Identification card
 Insurance card
 Your list of medications with dosage
 List of all physicians you have seen
 Films or CD for your CT scan, MRI, MRA, Carotid Doppler Ultrasound
 Recent blood test results
 Any medical records from your doctors

New Patients must bring their Insurance cards at time of appointment, failure to do so will result in the cancellation of your appointment.

If you have any questions regarding the forms, please contact our office at 813-250-9101.

I look forward to see you and contribute to your recovery

Erfan Albakri, M.D. FAHA


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