Forms

Prior to your first appointment with Dr. Zermeno, you may download and complete the following forms.

If you prefer to do this in person, please arrive 15 minutes prior to your appointment to complete them.

• New Patient Registration
  
• Privacy Practices
  
• Acknowledgement of Receipt of Privacy Statement
  
• Credit Card Consent Form
  
• Treatment Consent and Information
  
• Medical Records Release Form​