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PATIENT FORMS

The following documents will assist you in expediting the check in process for your appointment. Click the icon below to download the forms. You may either print them out after completing them on your computer, or print the blank forms and fill them out by hand.

Once finished, you may:

1. Scan the printed and signed forms and email them to officemanager@miamedicine.com

2. Fax the printed and signed forms to
(305) 749-9964

3. Print and sign the forms, and bring them with you to your first appointment

Our forms are available online as Adobe Acrobat (PDF) forms. To view and print these forms and notices, you will need the free Acrobat Reader, which you can download here. Please bring to your first appointment:  a list of your current medications (including dose and frequency), your medical insurance and a picture ID.


Patient Forms Concierge Medicine

WE WOULD LOVE TO MEET YOU.

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