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Si es un paciente nuevo o si algún integrante de nuestro personal se lo solicitó, por favor imprima, llene y traiga los siguientes documentos administrativos: 

Documento de Historia Clínica:

Documento de Historia Clínica para las Mujeres
Documento de Historia Clínica para los Hombres: Disponible Pronto


Documento Demográfico:

Por favor, lea nuestra Política de Privacidad HIPAA.

Si tiene preguntas acerca de los documentos médicos, póngase en contacto con el centro de salud más cercano.

*Debe tener Adobe Reader para visualizar estos formularios. Para descargar Adobe Reader gratuitamente, oprima aquí.


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