Completing these online forms prior to your visit will make certain that your visit is as quick and efficient as possible.

Our goal is to provide you with the best possible patient experience every time you visit one of our University Centers of Excellence locations. In an effort to reduce your wait time and allow you the quickest route to your provider, we have provided registration paperwork below that you can fill out prior to your visit. If you have any questions regarding the paperwork, please feel free to contact the location you intend to visit and the friendly staff there will assist you in any way possible. You can access your locations contact information by visiting our Medical Practice Locations page and clicking on the location you intend to visit.

Once you have completed the forms, please print the forms and bring them with you to your appointment.

** Please do not email these forms to your provider or the location you intend to visit. Email communication is not secure and your protected health information (PHI) may be intercepted or compromised by people other than the intended recipient.

NEW PATIENT PACKET

PAQUETE PARA NEUVOS PACIENTES

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MEDICAL HISTORY FORM

HISTORIA MÉDICA

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CONSENT TO PHOTOGRAPH

CONSENTIMIENTO PARA LAS FOTOGRAFÍAS

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