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Patient Forms to Download

 

Please download and fill out forms before your appointment to make your visit as smooth as possible.

You must have Microsoft Word 2000+ or a smiliar word processing application in order to view and print these forms.

For PDF documents, you will need ADOBE READER installed in order to view and then print the files. You can download and install the FREE ADOBE READER here.

Please make sure to UNCHECK the McAfee Security Scan Plus Offer if you do not want it to install on your computer.

Patient Information

• History and Physical
• Living Will
• Records Release
• Credit Card Authorization

 

General Practice Associates, LLC., 3301 Johnson Street, Hollywood, FL 33021 Phone: 954-989-6650

Welcome

Welcome to General Practice Associates website.

GPA Information

• Our Providers
  • Mark H. Lazar, M.D.
  • Mario Werbin, M.D.
  • Monica Coronel, M.D.
• Our Staff
  • Meet The Staff
  • Group Events
• Services
• Insurance
• Patient Information
  • Forms
  • Privacy
  • Patient Referral Requests
• Patient Education
  • For Your Health
• Contact Us & Directions

News & Resources

These links will bring you outside of GPA's website. We are not responsible for the content of these websites.
• 1. Family Doctor
• 2. Up to Date
• 3. Drug Savings
• 4. Humana Medicare
• 5. HealthCare and You

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