Lara Medical and Associates Family Practice and Internal Medicine

Patient Forms

Please select the form you wish to complete.

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New Patient Registration Form

Download "NEW PATIENT PACKET ENGLISH 2021.docx"

Authorization To Release Healthcare Information

Download "NEW PATIENT PACKET ENGLISH 2021 (7) 6-16-26.pdf"

HIPPA Release Consent Form

Download "Medical inf release Hipaa 3.pdf"

Demographic Update Form

Download "DEMOGRAPHIC UPDATE 2.pdf"

Wellness Visit Questionnaire

Download "ANNUAL WELLNES QUESTIONNAIRE ENGLISH 1_1.pdf"