FORMS

PATIENT FORMS FOR YOUR VISIT

Save time at the office by printing out our forms below.

Please make sure to mark each of the sections that apply to you. If none of the conditions apply, please check none. Please complete your forms before your appointment to help us better anticipate your healthcare needs. If you have additional demographics to fill out, arrive at your first appointment early to take care of any questions.

TEC Form

Pre-Payment Policy For Outpatient Procedures

Privacy Info

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Testimonials

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I was scheduled promptly and did not have to wait! Dr. Gao was thorough and listened to all of my concerns. She took a great deal of time with me! I felt comfortable with her knowledge and experience.

— Patient, Google Review

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For a medical office, this office is great. They took me in ahead of my appointment, and were very efficient The staff was friendly, competent and effective. Thank you for a solid experience

— Patient, Google Review

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One of the best Dr Offices I have been to, Dr Rodriguez and his staff are great. They were very patient and understanding of my anxiety for anything medical. I would give them 6 stars if I could.

— Patient, Google Review

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I very much appreciate the time Dr. Rodriguez took with me during my appointment yesterday. He thoroughly reviewed my record before entering the room and he spent a considerable amount of time with me discussing my medical issues. I highly recommend him.

— Patient, Google Review

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