Online Patient Registration

New Patient Forms

You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Complete and Send button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it.

Online Patient Registration


Please contact our office today with any questions.

Call Indian Harbour Beach Office Phone Number 321-777-2166 

Our office is located at: 2030 South Patrick Drive #1, Indian Harbour Beach, FL. 32937

  • Meet Dr. Lang
  • Office Hours: Mon. – Thurs. 8:30 AM to 5:00 PM and Friday 8:30 AM to 1:00 PM.