Patient Forms

Patient Registration Forms

Before your appointment, please fill out the forms listed below to make sure we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment.

Patient Registration Form

Patient Consent Form

Patient Authorization Form

Health Insurance Portability and Accountability Act (HIPPA)

Privacy Practices

Plaza Day Surgery Notice of Privacy Practices

Aviso Sobre Las Practicas De Privacidad

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