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PATIENT FORMS

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Our goal is for your concierge doctor to welcome you with your medical records already gathered and reviewed before your first appointment, as this is an important part of providing a thorough and thoughtful evaluation. To help us prepare, please click the icon below to download the new patient forms. You can complete them on your computer and print them, or simply print the blank forms and fill them out by hand.

Our forms are Adobe Acrobat PDF files. To view and print them, you will need the free Acrobat Reader, which you can download here.

When you are finished, you may

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

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

Please bring to your first appointment your medical insurance, and a picture ID.

Patient Forms Concierge Medicine

WE WOULD LOVE TO MEET YOU.

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