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Practice Name

SunLake Medical

Primary Location
18948 N Dale Mabry HWY suite 102
Lutz, FL 33548
Phone: 813-948-2107
Fax: 813-948-2790

Office Hours

Day
Monday9AM - 12PM1PM- 5PM
Tuesday9AM - 12PM1PM- 5PM
Wednesday9AM - 12PM1PM- 5PM
Thursday9AM - 12PM1PM- 5PM
Friday9AM - 12PM1PM- 5PM
SaturdayClosedClosed
SundayClosedClosed
Main Content

Sunlake Clinic offers our patient form(s) online so they can be completed it in the convenience of your own home or office.

  • If you do not already have AdobeReader® installed on your computer, Click Here to download.
  • Download the necessary form(s), print it out and fill in the required information.
  • Fax us your printed and completed form(s) or bring it with you to your appointment.

Patient Consent Contract -

This is to inform the patient of the risks of using controlled substances. Please let us know if you have any questions.

Download & Print Form

HIPPA Document -

This is a Notice of Privacy practices and provides information on how we may use and disclose protected private health information about you.  Please let us know if you have any questions.

Download & Print Form

Medical Release Document -

This is to authorize release of patient medical records and x-rays containing protected health information to Sunlake Medical Association. Please let us know if you have any questions.

Download & Print Form

Patient Information Sheet -

This lets us know the history and current state of your health. What questions, concerns, goals, regarding wellness can we help you with? Please let us know if you have any questions.

Download & Print Form

Right to Confidentiality Form -

Patients may request to see confidential communications of their protected health information from Sunlake Medical Association. Please let us know if you have any questions.

Download & Print Form



Download the Free AdobeReader®

Book An Appointment

Schedule an appointment today!

Call us at 813-948-2107 or sign up using the form below to make your appointment.

Name: *
Email: *
Phone: *

Registration & Forms

SunLake Medical offers our patient form(s) online so they can be completed in the convenience of your own home or office.
Download Online Forms Here

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Make An Appointment

We will do our best to accommodate your busy schedule. Request an appointment today!

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Meet the Doctor

Know more about Dr. Luis Logrono.

Read More

Contact

SunLake Medical
18948 N Dale Mabry HWY suite 102
Lutz, FL 33548
Get Directions
 
  • Phone: 813-948-2107
  • Fax: 813-948-2790
  • Email Us

Office Hours

Day
Monday9AM - 12PM1PM- 5PM
Tuesday9AM - 12PM1PM- 5PM
Wednesday9AM - 12PM1PM- 5PM
Thursday9AM - 12PM1PM- 5PM
Friday9AM - 12PM1PM- 5PM
SaturdayClosedClosed
SundayClosedClosed


Contact - Armenia Office

Sunlake Medical
4704 N Armenia Ave, Tampa
Armenia, FL 33603
Get Directions
 
  • Phone: 813-873-7246
  • Fax: 813-872-0254
  • Email Us

Office Hours

Monday: 9:00am - 5:00pm
Tuesday: 9:00am - 5:00pm
Wednesday: 9:00am - 5:00pm
Thursday: 1:00pm - 6:00pm
Friday: 9:00am - 1:00pm
Saturday : CLOSED
Sunday : CLOSED

Day
Monday9AM - 12PM1PM- 5PM
Tuesday9AM - 12PM1PM- 5PM
Wednesday9AM - 12PM1PM- 5PM
Thursday9AM - 12PM1PM- 5PM
Friday9AM - 12PM1PM- 5PM
SaturdayClosedClosed
SundayClosedClosed
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