Forms & Policies

If this is your first appointment with our practice, please complete the New Patient Information form listed below and bring it with you to your appointment. When you click on the form it will appear on your screen; you can then click on each line of the form and type the requested information. When finished you can print the form from your computer.(Viewing and filling out this form on your computer requires Adobe Reader®. If you don’t have this program, please click below to download for free).

New Patient Information Información Para Pacientes Nuevos

Medication List

Medical Records Release Divulgación de Registros Médicos

Patient Consent Formulario de Consentimiento

Disclosure of Medical Records Consent La Divulgación de Registros Médicos

No Show and Copay Si No Se Presenta y Copago

Patient Database

Access to Medical Records

Accounting of Usage of Medical Records

Medical Record Amendment Request

Restriction of Use/Disclosure of Protected Health Information (PHI)

Privacy Complaint

Glucose Log

Prescription Refill Policy

HIPAA Manual

Abnormal Blood Pressure

Calcium Disorder Cuestionario de Calcio

Diabetes Cuestionario de la Diabetes

Hair Loss Cuestionario de la Caída del Cabello

Hormone Cuestionario de la Hormona

Osteoporosis Cuestionario de la Osteoporosis

Pituitary Disease

Thyroid Disease Cuestionario de la Tiroides