In preparation for your surgical consultation, you may fill out and print the forms below.

Be sure to bring them with you on your visit or fax them to 305-696-4435.

AUTHORIZATION FORM

MEDICAL MALPRACTICE ACKNOWLEDGMENT

REVIEW OF SYSTEMS

ACKNOWLEDGEMENT OF

INSURANCE BENEFITS

PATIENT REGISTRATION

PATIENT PAPERWORK

Phone:

(305) 691-2941

Operating Hours:

Monday - Friday: 08:00 - 17:00

Direction:

1190 NW 95 Stree, Suite 101, Miami, FL 33150

Our office is conveniently located on the ground floor of the medical office building adjacent to North Shore Medical Center, one minute west of I-95 and just minutes from I-75 and the Turnpike.

Directions from I-95: Exit 10 West. Turn onto 95th Street heading west. Pass through two traffic lights, and turn left into North Shore Medical Center. Park in front of the Medical Arts Building to the left side of the main hospital.

Opening Hours: Monday - Friday from 8 AM - 5 PM.

Hours of Appointments:

Monday: 9:00AM - 12:00PM

Tuesday: 9:00AM - 1:00PM

Thursday: 9:00AM - 12:00PM

Fridays: 9:00AM - 1:00PM