Patient Forms
Expedite your check in process
Welcome to our office where our goal is to provide you with the highest quality, state of the art, personalized medical care.
To eliminate longer waiting period at our office, please print, complete and bring the following forms with you:
- Patient Information
- Patient Medical History
- Health Conditions Form
- Office Policies
- Privacy Acknowledgment
- Notice of Privacy Practices
- Request for Releases
For patients coming for the first visit, please bring with you the following:
- Drivers License/ Photo ID
- Insurance Card/s
- Referral from your PCP if required by your health plan
- Any relevant lab report/ diagnostic test report
- List of medication with their dosage
If you have any questions regarding any forms, please call us at: (954) 792 0304
Conditions Treated
Pulmonary Disease
Sleep Disorders
Critical Care Medicine
Procedures Performed
Bronchoscopy
Endobronchial Ultrasound Guided Needle Aspiration
Navigational Bronchoscopy
Pulmonary Functional Tests
Sleep Studies
For appointments and more information, please call us at,
(954) 792 0304