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Lifedoc HealthLifedoc Health
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Patient Forms

The following forms are part of our new patient packet. All of the following forms should be filled out by all new patients.

  • New Patient Packet
  • Incoming Referral Form
  • HIPAA Notice of Private Practices
  • General Consent Form
  • Authorization From Legal Guardian to Assist Patients in Receiving Care
  • Authorization for Release of Medical Information
  • Insurance or Payment Information
  • Office Policies on Balances
  • No Show/ Cancellation/ Late Arrival Policy

© 2025 Lifedoc Health.

  • About
    • History
    • Meet Our Team
    • Services
    • Community Involvement
    • Lifedoc Partners
  • VidaPlus
  • Patients
    • Forms
    • Make A Payment
    • Patient Portal
    • Patient Resources
    • Request an Appointment
  • COVID-19
  • Research
  • Jobs
  • Contact
  • News
  • Donate
  • English
  • Español