Lara Medical and Associates Family Practice and Internal Medicine

Patient Forms

Please select the form you wish to complete.

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New Patient Registration Form

Download "NEW PATIENT PACKET ENGLISH 9-24-25.pdf"

Authorization To Release Healthcare Information

Download "MEDICAL RECORDS RELEASE ENGLISH 2025.pdf"

HIPPA Release Consent Form

Download "Medical inf release Hipaa 3.pdf"

Demographic Update Form

Download "DEMOGRAPHIC UPDATE 2.pdf"

Wellness Visit Questionnaire

Download "ANNUAL WELLNES QUESTIONNAIRE ENGLISH 1_1.pdf"