Online Patient Registration

New Patient Forms

You may preregister with our office by filling out our mobile-friendly and secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. On your first visit to our office, we will have your completed form available for your signature. 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.