Flory Isabel Aguilar, M.D.

Family Medicine

Welcome

Scheduling & Hours

Patient Forms

My Office & Policies

About the Doctor

Services

Wellness & Prevention

Women's Health Concerns

Men's Health

Children & Adolescents

Stress Reduction

Vaccinations

Flu Shots

Immunizations

Custom Weight Reduction

Nutrition

Medical Aesthetics

Aesthetic Medicine

Botox / Dermatology

Laser Hair Removal

Insurance

Overview & Policies

Contact Us

Patient Forms
NEW PATIENTS:

If you are a new patient, please arrive at least 15 minutes early to complete the required paperwork for your visit.  You will be asked to show your current drivers license and a copy of your current insurance card. 

All new patients are required to print and complete the following forms prior to your scheduled visit.  If you have any questions regarding these forms please call our office.  You may fax these forms to our office anytime prior to your scheduled visit to minimize your wait time. 


RETURNING PATIENTS:

If you are a returning patient, please be aware that we have updated our computer and billing system.  We will need to verify the information currently on file for you so please arrive at least 15 minutes prior to your scheduled appointment.

If you are a returning patient and have changes to your name, address or insurance information, please print and complete the forms below prior to your scheduled visit as well.  You may fax these forms to  our office anytime prior to your scheduled visit or you may bring them with you 15 minutes prior to your scheduled appointment.


We apologize for any inconvenience and look forward to better servicing your needs as we continue to grow our practice.

 
Required Forms for all New Patients and Returning Patients with information changes:
Document
General Patient Information Form
Document
Patient Consent Form
Document
Office Policies - 04_2009
 
Additional Forms for use as directed by our office:
Document
Patient History
Document
Authorization to Release Medical Records
Document
Laboratory Explanation - 04_2009
a
aa
a
a
Copyright 2006
Last updated September 2009