Christine Allen, APRN

Cardiovascular Surgery

1540 S. Tamiami Trail., Ste. 303
Sarasota, FL 34239
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Phone: (941) 917-8791

Fax: (941) 917-8793

Education: Florida Gulf Coast University, Ft. Myers, FL

Certifications: Acute Care Nurse Practitioner, Board Certified

Print Your Forms and Save Time

Please print & complete documents 1-4

1. New Patient Registration

2. Consent for Treatment

3. Consent to Leave Messages

4. Authorization to Release Medical Records

*Some additional information must be completed at the office

Patient Education

1. Managing Medications Before Surgery

2. Activities & Interests After Surgery

3. Heart Valves and Dental Work

Reference Documents

1. Notice of Privacy Practices

2. Making Personal Choices Information

3. Living Will Documentation

FPG Navigator

A password-protected Web portal that gives you 24-hour access to certain personal health information from your FPG medical record. You can also use it to pay your bills online and communicate with your care team. For urgent requests, phone your doctor’s office. Call 911 for emergencies. << Click for a helpful portal guide FPG Navigator is only compatible with Internet Explorer 9 and above.

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Contact

Under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact Sarasota Memorial Health Care System Public Relations Offices by phone or in writing:

ADMINISTRATION OFFICE:

1700 S. Tamiami Trail (mailing address); 1900 S. Tamiami Trail (physical address)

PRIVACY POLICY:

Please click here to read our Privacy Policy. | Nondiscrimination Statement

CONSUMER DATA:

Agency for Health Care Administration
Centers for Medicare / Medicaid Services