Patient Information / Forms

Please PRINT and complete the following forms and bring to your first appointment with Dr. Tishko or Dr. Radecki.

Dr. Dennis J. Tishko, MD, FACS

Tel: 954-320-5758
Fax: 954-888-3808

1801 W. Sample Road, Suite 101
Deerfield Beach, FL  33064

1601 S. Andrews Rd, 3rd Floor
Ft Lauderdale, FL 33316

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