Forms can be completed online through the patient portal or you can print them from our website and bring them with you to your appointment.
The practice of medicine is an art, not a trade; a calling, not a business; a calling in which your heart will be exercised equally with your head. William Osler
"Excellent doctor and great communication."
"Dr Nagi took the time to hear my concerns and ask questions about what I was experiencing. She was attentive and engaged during our appointment."
"Staff was very friendly and the doctor was thorough."
"Love her. She was very thorough and seemed very sweet. We will be back."
"She is friendly and seems very knowledgeable!! Very glad I found her on Zocdoc."
"Dr. Nagi is a great listener. She is responsive to my medical needs. Her staff is excellent as well."
"A quick and very easy to prepare for the exam. Very professional and the way that they treat you is so attentive, really great, and comfortable. Just a great place to recommend to friends and family members. Good job Dr.Nagi."
Authorization for Release of Medical Information (PDF) - Allows patients to authorize the disclosure of their health information to a designated individual, company, agency, or facility. Autorización De HIPAA Para Divulgar Información Del Paciente
Authorization and Consent for Treatment (PDF) - All patients must provide their consent for treatment, communications (calls, emails, and text messaging), and agreement of financial responsibility. Autorización y Consentimiento Para el Tratamiento
Preferred Contacts (PDF) - Patients are encouraged to complete and return the Preferred Contacts Form but it is not required. Contactos Preferidos
Virtual Visit Policy (PDF) - This policy describes the process for the documentation, maintenance, and transmission of information using virtual visit technology.
Financial Policy (PDF) - This form advises patients of their complete financial responsibility for all medical services received without regard to insurance eligibility or coverage determinations. Política Financiera (PDF)
Notice of Privacy Practices (PDF) - Describes how health information about you (as a patient of this Care Center) may be used and disclosed, and how you can get access to your individually identifiable health information. Please review this notice carefully. Aviso de prácticas de privacidad (PDF)