M. Elen P. Gajo, M.D. and Associates Home Staff forms

New Patients

Hello, if you are a new patient click on the highlighted file below to view the new patient forms. 

You can save, print, fill out, and then bring the forms into our office to be registered as a new patient.

Also, be sure to talk to your insurance company to know which doctor you can see.

For new patient forms click here Business hours: Monday 9 - 4:30 Tuesday 9 - 4:30 Wednesday 9 - 4:30 Thursday 9 - 4:30 Friday 9 - 4:30
Address: 68 Beal Parkway S.W. Ft Walton Beach, FL 32548    Phone: 850-243-7035    Fax: 850-243-8529