Patient Forms

Over 40 Years of Experience | Accurate and Timely Diagnosis | Cutting-Edge Equipment

Over 40 Years of Experience

Accurate and Timely Diagnosis

Cutting-Edge Equipment

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Hours:

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Fill Out Patient Forms Before You Arrive

If you're visiting our cardiology clinic for the first time, we would request you to read through our various forms and get a printout of each. This will help you save time at the clinic as we can speed up your appointment. Call locally owned Pedro R. Hernandez-Lattuf, M.D., P.A.

New Patient Forms

  • Click here to View the New Patient Welcome Letter
  • Click here to View the Notice of Privacy Practices
  • Click here to Download the Patient Information Sheet
  • Click here to Download the Financial Policy
  • Click here to Download the NPP Signature Form
  • Click here to Download the new Patient Database Questionnaire

Fill Out Our Forms to Receive Exceptional Cardiovascular Services

Call Hernandez-Lattuf Pedro R - MD PA to learn more.

(806) 355-3364

(806) 355-3364

Follow Up Forms

  • Click here to Download the Health Information Update
  • Click here to Download the Patient Information Sheet