Securities and Exchange Commission Washington, DC 20549 Form 8-K CURRENT REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934 Date of Report (Date of earliest event reported) June 18, 2004 -------------- PATIENT INFOSYSTEMS, INC. (Exact Name of Registrant as Specified in its Charter) Delaware 0-22319 16-1476509 (State or Other Jurisdiction (Commission File Number) (IRS Employer of Incorporation) Identification No.) 46 Prince Street, Rochester, New York 14607 ------------------------------------------------------------------- (Address of Principal Executive Offices) (Zip Code) Registrant's telephone number, including area code (585) 242-7200 -------------- (Former Name or Former Address, if Changed Since Last Report) ITEM 7. FINANCIAL STATEMENTS, PRO FORMA FINANCIAL INFORMATION AND EXHIBITS. See Exhibit Index. ITEM 9. REGULATION FD DISCLOSURE. On June 18, 2004, the registrant issued a press release regarding the closing of a private placement of shares of its common stock. A copy of the press release is attached as Exhibit 99.1. SIGNATURES Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized. PATIENT INFOSYSTEMS, INC. Date: June 18, 2004 By: /s/ Roger L. Chaufournier ------------------------- Roger L. Chaufournier Chief Executive Officer EXHIBIT INDEX Exhibit 99.1 Press Release dated June 18, 2004 announcing closing of private placement