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9851 NW 58th Street, Suite 125, DORAL, FL 33178
Phone: (305) 403-1035 | Fax: (305) 403-1036
info@acebohealthcenter.com
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For your convenience, we have made the following patient forms available to you through our website. They are easy to download to your computer, print and complete prior to your office visit.

We have tried to make them as simple as possible, but if you have any questions, our staff will gladly help you fill out any missing information.

By bringing them on the day of your visit, you can ease the check-in process. Please, do not forget to bring along your current insurance card!
   

DOWNLOAD FORMS:

» Patient Past Medical History
» Patient Registration Form
» Consent for Treatment
» Malpractice Notice


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URGENT CARE MEDICINE
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2011 © Acebo Health Center • 9851 NW 58th Street, Suite 125 • Doral, FL 33178 • Phone: (305) 403-1035 • Fax: (305) 403-1036