Patient Forms

Patient Forms

Patient Information

Office Financial Policies

Individual Consent for the Use or Disclosure of Protected Health Information

Authorization to Discuss Patient Medical Information

Medical Records Release Form (to be released FROM the Practice)

Medical Records Request Form (to be released TO the Practice)

Billing Department Use Only

Telephone

(386) 258-0123

Fax

(386) 258-6464

Patient Feedback

K.R.

Dr. DaSilva is an amazing physician. She cares for me and my daughters. She is kind, compassionate, and a highly qualified OB/GYN.

KARINA C.

Love, Love, LOVE Dr Meyers ! Amazing bedside manners! Knows how to make his pts feel comfortable and he gets right to the point. no run arounds! And his office staff was sooooo nice and professional. Would definitely recommend to any expecting mother !

H. L.

Blessed to have found Dr. Meyers! Very proficient office staff, nurses are kind, it is a well-oiled machine! I couldn’t ask for better service and patient care. Extremely happy with the courtesy and knowledge the doctor provides! So down to earth! Would not go anywhere else!

SYLVIA

I have been a patient of Dr. DaSilva’s for 16 years. She provides stellar medical care and truly values relationships with her patients. She always listens and responds to their concerns. All my experiences with her office staff & nurses are positive and timely.