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NEW PATIENT FORMS

Before you attend your first appointment at Advanced Wellness Infusion Centers, please make sure to review the documents below. The New Patient Forms are available here by location to get a jump start on your first appointment. You may bring them with you or fax them to us at 352-530-2476. Please contact us if you have any questions!

New Patient
Infusion Forms

Clermont

New Patient
Infusion Forms

Gainesville

New Patient
Infusion Forms

Leesburg

New Patient
Infusion Forms

Ocala

ABOUT

Our infusion centers are dedicated to offering personalized treatments with compassion, supporting every patient along their health journey.

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QUICK LINKS

CONTACT

616 N Palmetto Street Leesburg, FL 34748

(Home Office)

352-702-0850 - Leesburg

904-322-8625 - Clermont

352-353-0055 - Ocala

352-415-3184 - Gainesville

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352-530-2476 - Fax

© 2025 by Advanced Wellness Infusion Centers

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