Patient Forms

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Save time at the office; download the Patient Forms below to complete and bring with you.

Complete Forms Package

Individual Forms

1. Patient Registration Form

2. Medical History

3. Authorization for Release of Medical Records

4. Patient Financial Agreement

5. Policies and Procedures Agreement

They truly do everything in there power to do what they can
I have been going to this office since I was 16, and my grandma has been going there for the last 15 years. I understand the reviews are rough on the staff and the office as a whole, but if you could see the truth about those girls in the office they truly do everything in there power to do what they can for my grandma and even for me when I need it. Yes, just like every office in the healthcare industry they have their days (and I have been to offices that are much worse), but never once have they not done what they have to for me or my grandma. For example: my insurance didn’t cover one of my medication and Dr. Mendez gave me a few samples to hold me over until they resolved the issue. I tell all my friends and family to go see any of the doctors here because I have met them all and they are spectacular. If I ever had a problem that someone in their Pembroke Pines office can’t figure out then they call their Margate office and get it done. I personally have had the best experience and I highly recommend you to give them a chance. All these negative reviews are probably people that have no patience or want things done not within the time frame the office gives them! If you’re planning or looking to go here I would definitely give them a chance.
Alyssa Torres
Pembroke Pines
Very helpful and they know what they’re doing

“Awesome office” great with people, They are very helpful and they know what they’re doing very thankful for them!!!👍

DJ Bling 4678
Pembroke Pines
I have been going to this office for the past 5 years and have been treated great.

I have been going to this office for the past 5 years and have been treated great. The staff and doctors are awesome. I recently visited and saw all the protection equipment they have put up for their staff and patients due to covid-19. I definitely recommend this office to make an appointment with a Primary Care Physician and a 5-star rating!!!

Jennifer Gonzalez
Pembroke Pines