Instructions:

    You can cut/paste the top portion of this document into a word processor and type in the answers  The first section below is to cut out for a template. Below that is more detailed guidelines/questions to help you better inform us of your problems. Alternately you can download one of the documents below.

   

    After filling in all the information, please print the document and fax to us at 407-951-7843. 

FLTCM Non-office visit Form
Out_of_Area_INSTRUCTIONS_Phone_2014.pdf
Adobe Acrobat document [140.8 KB]
Our of area return patient form.PDF
Return Patient Form English 2012 Final.p[...]
Adobe Acrobat document [157.6 KB]

Please choose the best way for you to contact us:

 

1.Click our contact form

 

2. Call us at: 407-951-7841

 

3. Send Text to our office's cell:

 

407-529-4155

 

4.Email us at:

 

info@fltcm.com

 

For any herbal refill or herbal order. We could always shipping the herbal to you directly with USPS any where inside USA. For international shipping. Please contact our ofifce for details.

          

Appointments