Diane Dabringhaus, APRN

Gynecology, Obstetrics

1921 Waldemere St., Ste. 802
Sarasota, FL 34239
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Phone: (941) 917-7888

Fax: (941) 917-6314

Education: University of South Florida, Tampa, FL

Certifications: American Nurses Credentialing Center, Family Nurse Practitioner

For important resource links during pregnancy, click here.

Print Your Forms and Save Time

Please print and complete documents 1-5

1A. Gynecologic Health History Questionnaire

1B. Obstetrical Health History Questionnaire

2. New Patient Registration

3. Consent for Treatment

4. Consent to Leave Messages

5. Authorization to Release Medical Records

*Some additional paperwork must be completed at office

Reference Documents

1. Epidural Video Instructions

2. Notice of Privacy Practices

3. Making Personal Choices Information

4. 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. For urgent requests, phone your doctor’s office. Call 911 for emergencies.

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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