INTAKE FORMS

We look forward to meeting you at your first appointment. Prior to arriving, please download and fill out each form prior to your initial appointment with Dr. Surrago. If you are unable to print out or fill out your forms, please arrive 15-20 minutes prior to your appointment to fill out the forms in person. Patients who have not filled out their forms will not be seen by the doctor.

Intake Forms

Arbitration Agreement

Informed Consent

Notice of Privacy Practices