Patient Information

Patient Forms for Faster Medical Care

Cut Your Office Wait Time with the New Patient Forms Below 

Choose the appropriate new patient forms from the list below to cut your wait time at your first visit. See the required details for our patient forms now to save the hassle of tracking down that information later at our office.  

1. New Patient Forms (English)

All adult patients must fill out the new patient forms before their first appointment. These forms provide us with the general information and medical history needed to provide medical care. You may print these new patient forms at home to complete them prior to arriving for your appointment. Doing so could expedite your registration and shorten your wait time in the office lobby.

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2. Formularios para Pacientes Nuevos (Español)

Todos los pacientes nuevos deben llenar estos formularios antes de su primera cita. Estas formas nos dan la información general y la historia médica necesaria para proporcionar asistencia médica. Usted puede imprimir estos formularios en su casa para completarlos antes de llegar a su cita. Si lo hace, podría agilizar su registro y acortar su tiempo de espera en el vestíbulo de la oficina.

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3. Advanced Beneficiary Notice of Noncoverage (ABN)

The ABN is essentially a waiver of liability. By signing, you accept the responsibility to pay for any additional service or procedure Medicare deems to be unnecessary.

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Educational Sheet - Arthritis

Arthritis is a condition affecting the joints, causing pain, stiffness and swelling.

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Educational Sheet - Eat Right with Color Flyer

Food variety supplies dierent nutrients, so to maximize the nutritional value of your meal, include healthful choices in a variety of colors.

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Educational Sheet - High Blood Pressure

High blood pressure is sneaky. You can have it and not know it. That’s why it is called a “silent killer”.

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Menu - One Week (English)

1500-calorie daily meal plan

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Menu - One Week (Español)

Plan de comidas diarias de 1500 calorías

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Wellness Education Booklet (English)

As part of FPG’s efforts on health promotion and chronic disease prevention and management, we designed this Wellness Education brochure to provide simple-to-use content to help you stay healthier and safer.

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Wellness Education Booklet (Español)

Como parte de los esfuerzos que realiza FPG en la promoción de la salud y la prevención y manejo de enfermedades crónicas, hemos diseñado este folleto “Wellness Education” con un contenido simple de usar para ayudarle a mantenerse saludable y más seguro.

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