Preparation for Initial First Visit

Please see departments and forms below. Please have forms filled out and printed ready for your first appointment.  This will help our team better assist you.

Option 1: Print the PDF forms, fill them out by hand completely and bring it to your appointment.

OR

Option 2: Fill in the PDF forms with your computer and then print to bring to your appointment.

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Patient Forms (Gynecologic Oncology)

Luis A. Padilla Paz, M.D., Joel C. Webb, M.D. and Marco Duarte, M.D.

What to Bring:

  1. Health insurance information including authorizations or referrals
  2. Completed new patient forms (filled out)
  3. List of prescription medications and dosages
  4. List of medications that you’re allergic to
  5. List of questions you may have
  6. Recent test results related to your condition
  7. Paper and pencil to take notes

 

Patient Forms (Hematology-Oncology and Cancer Genetics)

Victor V. Vigil, M.D.

What to Bring:

  1. Health insurance information including authorizations or referrals
  2. Completed new patient forms (filled out)
  3. List of prescription medications and dosages
  4. List of medications that you’re allergic to
  5. List of questions you may have
  6. Recent test results related to your condition
  7. Paper and pencil to take notes