Forms

Take the next step towards a healthy life.

We serve the Laredo, Texas area for all its healthcare needs, and offer many well-known physicians.

Please print and fill out the forms below prior to your visit to speed up your appointment process.
Make sure to include a copy of your insurance card.
Fax the forms to 956 608 4501 to request an appointment

Patient Forms

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To avoid any appointment delays make sure to fill out ALL the forms in their entirety.

Please note: Health insurance is a contract between you and your insurance company. This office will file insurance claims as a courtesy to our patients. If you have any questions or concerns about your insurance, please call your insurance prior to coming to office visit. If you have a co-pay or deductible, be prepared to pay it at time of service.