Atlantic Health Medical Associates
has provided all your new
patient registration forms.
In order to make the new patient registration process as quick and easy as possible, we have posted all of the forms we require you to fill out upon arriving. Please click on the various links below and print the forms. Fill in all requested information and bring the forms with you on the day of your appointment. If you have any difficulties with completing the forms, please call (305) 931-7424.
These forms are in pdf format. If you are unable to view you will need to download the necessary plug-in.

New Patient Registration Forms
Privacy Policy
Authorization for Release of Medical Records
Initial Clinical History and Physical Form
Medication Log
Study Screening Questionnaire
Sleep Study Assessment and Questionnaire

Influenza Vaccination Assessment and Questionnaire

Atlantic Health Medical is committed to providing the highest quality medical care in the most professional, timely and effective manner.

Call us today (305) 931-7424

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