Patient Registration

How to become a patient here:

Ask your primary care provider for a referral. The referral form can be found here.

Once a referral has been sent, along with the relevant records, (this may take a few days for labs, imaging, etc to come back), we will call you to schedule your first appointment.

Please do not submit new patient registration until you have confirmed your appointment with the office.

What do you need to do?

  1. Watch for a call or voicemail from 256-284-7280.

  2. Watch for new patient paperwork to arrive by mail.

  3. Arrive 15 minutes early to your appointment at 153 Ana Dr in Florence.

Bring completed paperwork, filled out front and back, along with your ID and insurance cards, as well as a list of your medications.

Patient Registration Form

Have you have confirmed your appointment with the Florence Endocrine Clinic?

Please call our office to confirm your appointment before submitting our new patient registration form, thank you.


No-Show Policy:

The Florence Endocrine Clinic does maintain a no-show policy. While we understand that emergencies illness and accidents do happen we do appreciate the courtesy of a cancellation call text email or portal message. Patients who fail to cancel or reschedule an appointment beforehand may be assessed a $50 no-show fee. Repeat no-show appointments are grounds for patient termination.