Patient Forms

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Patient Forms

Before your visit, you will be able to complete the New Patient Packet electronically by clicking the link that you will be receiving via email and text few days before your scheduled appointment. You can also complete registration and check-in on the patient portal. In case you were not able to check-in before the visit, you will be able to complete your registration on an IPAD upon arrival. If you prefer completing a paper form registration, please complete and sign the packet below and fax to 561-8551655 or email to office@endocrineboca.com

For patients with Diabetes and using a glucometer, we kindly ask you to bring the Blood Glucose Log with you on your scheduled appointment.

Please complete the following form if you want to share your medical information with another individual or family member. Once signed, please return the completed form via Fax 561-8551655 or email it to office@endocrineboca.com

To request the release of your medical records, please complete the form below and return the completed form via Fax 561-8551655 or email it to medicalrecords@endocrineboca.com.

The following forms are available for your review. Please let us know if you have any questions.

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