At Dr. G Pain & Orthopedics, we offer patient forms online so you can complete them in the convenience of your own home or office. Fax us your printed and completed forms or you may bring them during your visit.

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If you have any questions or need more information, please don’t hesitate to contact us. We’re here to assist you and will respond as promptly as possible to support your needs.

(352) 251-2588

8112 Centralia Ct. Suite 101
Leesburg, FL 34788

(352) 251-2588

8640 E CR 466 Suite A
The Villages, FL 32612

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Please use this form for general information purposes only. DO NOT send personal health information through this form. Specific patient care must be addressed during your appointment.

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Leesburg Office

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