Dr. Lapayowker Forms

Forms

To schedule an appointment, please click on the Appointment button above or call us today at 954 472 2201.

Once you have made your initial appointment, we recommend that you download the patient forms below, print them, complete them prior to your arrival and bring them with you to your visit. They also can be faxed to us at 954 472 2501. This will help speed up the new patient registration process and get you in to see the doctor faster. Be sure to bring in your insurance card, necessary referrals and any test results that may have been ordered.

Be sure to bring your insurance card plus any diagnostic report or other test results that may have been ordered or performed by another physician.

DOWNLOAD PATIENT FORMS

+ Patient Information
+ HPV consent
+ Release of Records to Another
+ Release of Records to Dr. Lapayowker
+ Office Policy
+ Contact Information HIPAA
+ Authorization for Treatment