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Contact Us

We are here to assist you. 

Our Information

Port Charlotte Office

18308 Murdock Circle, Suite 108 Port Charlotte, FL 33948

Englewood Office

3937 S Access Road, Unit A

Englewood, FL 34224

 

Phone: 941.625.3411 

Fax: 941.625.1792

 

office@gallianosurgery.com

Hours of Operation: 

M-F, 8 AM to 4 PM

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Patient Forms

Please download, print, and complete the New Patient Forms before you arrive for your medical appointment. Bring these forms, filled out, with your identification and insurance card (if applicable) to your appointment.

Diet and Bowel Prep

If your doctor has requested that you complete a diet and bowel prep prior to your procedure, please download the form below, follow the instructions, and bring a signed copy to your appointment.

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