Patient Forms

Streamline your healthcare journey with our comprehensive patient documentation system

Welcome to La Salud Medical Center! Optimize your initial visit experience by completing essential forms prior to your appointment. All documentation is available in both English and Spanish to ensure complete comprehension and comfort throughout your healthcare journey.

Essential Documentation for Your Initial Consultation:

Government-issued photo identification (driver's license or state ID)
Current insurance coverage card
Comprehensive medication list including precise dosages
Previous medical records and diagnostic reports (when available)
Pre-completed patient intake forms (accessible below)

Mandatory Documentation for New Patients:

New Patient Registration Portfolio

Comprehensive demographic and contact information documentation.

Available in English & Spanish

Medical History Comprehensive Assessment

Detailed health history documentation and current pharmaceutical regimen.

Available in English & Spanish

HIPAA Privacy Compliance Acknowledgment

Formal acknowledgment of our comprehensive privacy practices and consent protocols.

Available in English & Spanish

Prepared to Commence Your Healthcare Journey?

Contact our administrative team at (941) 242-0934 to request documentation packages or schedule your inaugural consultation.

Documentation completion assistance is available during your visit. Our bilingual professional staff provides comprehensive support throughout the process.