PATIENT FORMS

New patients can save time during their first appointment by completing the Patient Registration forms prior to their first visit. Simply print out the Patient Registration forms, fill in the information requested, and bring the completed forms with you to your appointment.

Debe usted completar el registro del paciente antes de su primer cita.
Necesita usted imprimir el registro del paciente, completarlo, y traerlo a su cita.

The links below point to .pdf forms that must be completed and printed, with a hard copy brought along when checking in for an office visit.

Patient Registration Form

Sliding Scale Program Form

When the form is completed please email it to estellagarza@cmclancaster.com