LADO HEALING INSTITUTE
Leonard A Lado MD·TM, RPh, ABPN
American Board of Psychiatry and Neurology
Board Certified Psychiatrist
 
9776 Bonita Beach Rd Suite #202B Bonita Springs, FL 34135 | Monday - Friday 9 AM - 5 PM |
 
Click here to see on the MAP or if you need Driving Direction | Phone: 239.948.4325
 
If you need to cancel your appointment please fill out this form: Appointment Cancellations
 

Patient Information

Save & Return

Save your progress and complete this form later. (optional)

 
Preferred Phone Number: (xxx)-xxx-xxxx
calendar

Appointment Information

Please note that $50 fee may apply if you cancel or re-schedule within 24 hours!
calendar
We currently do not provide counselling but are able to do an evaluation and refer to therapist.
We do prescribe medications.
Please note that a retainer fee may be required since legal cases require more documentation!
 
What you are needing treatment for? (Please check all apply) *
 
Are you visiting for pain killer (Suboxone) treatment? *
Please note that insurance companies will pay for first evaluation but may not pay for induction!
(the first Suboxone treatment)
 
Is Suboxone already prescribed for you? *
Is this Patient older than age sixteen? *
Dr. Lado's office can see patients only who's are older than age 16!
Save & Return Account (optional)
New Users / Returning Users CLICK HERE to setup or return to your account for this form. Creating an account enables you to return to this form and your submitted results. An account will also enable you to partially complete this form and return later to finish. The account you establish is only for this form.
LADO HEALING INSTITUTE
Leonard A Lado MD·TM, RPh, ABPN
American Board of Psychiatry and Neurology
Board Certified Psychiatrist
 
9776 Bonita Beach Rd Suite #202B Bonita Springs, FL 34135 | Monday - Friday 9 AM - 5 PM |
 
Click here to see on the MAP or if you need Driving Direction | Phone: 239.948.4325
 
If you need to cancel your appointment please fill out this form: Appointment Cancellations