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Dr. Glass' Resume

New Patient Forms

Payment Policy

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New Patient Forms

Please arrive 15 minutes early to your initial evaluation session. Be seated in the waiting room until you are called in for your appointment. This is a perfect time to complete "New Patient Forms" if you have not already done so.

We recommend you download, print and complete the following “New Patient Forms” prior to your appointment.


Click Below to Download Forms
Password Required


These forms require Adobe Acrobat Reader to view. If this software is not already installed on your computer, download it for free.


202 South Westland Avenue | Tampa, Florida 33606
phone 813.251.1076 | fax 813.251.1476