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Jose I. Lopez, M.D.
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  • Dr. Jose Ignacio Lopez
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Jose I. Lopez, M.D.
Home
About Us
  • Dr. Jose Ignacio Lopez
  • Reviews
New Patients
  • First Visit
  • New Patient Forms
Contact
  • Visit Us
  • Book an Appointment
Care and Medical Service
  • How We Help
More
  • Home
  • About Us
    • Dr. Jose Ignacio Lopez
    • Reviews
  • New Patients
    • First Visit
    • New Patient Forms
  • Contact
    • Visit Us
    • Book an Appointment
  • Care and Medical Service
    • How We Help
  • Home
  • About Us
    • Dr. Jose Ignacio Lopez
    • Reviews
  • New Patients
    • First Visit
    • New Patient Forms
  • Contact
    • Visit Us
    • Book an Appointment
  • Care and Medical Service
    • How We Help

Upon your first visit, these are the required forms needed to be able to care for you. These forms can either be completed before your visit or during your wait at the office. However you choose to fill out the forms, they can found by proceeding to click on the files down below. 

NEW PATIENT FORM (docx)Download
MEDICAL RECORD DISCLOSURE FORM (pdf)Download
HIPPA FORM (pdf)Download
NOTICE OF PRIVACY PRACTICES (pdf)Download
NOTICE OF PRIVACY PRACTICES RECEIPT FORM (pdf)Download
OFFICE POLICIES (pdf)Download

Jose Ignacio Lopez, M.D.

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