For new patients to FAU Medicine, we ask that you please arrive or bring the completed paperwork to our office at least 20 minutes prior to your appointment.
You will need to bring your actual insurance cards and a photo ID (e.g. driver’s license, passport) for us to scan into our system. Unfortunately, we cannot accept copies, so please provide us with your original cards or documents.
Please bring in all of the bottles of your prescription medications as well as over-the-counter medications and herbal and vitamin supplements you are currently taking.
New Patient Forms
Click here to download our patient forms packet. Please print and complete these forms, and bring them with you to your first appointment.
Your new patient packet includes the following:
- Health History Questionnaire
- Consent for Medical Treatment
- Notice of Privacy Practices
- Self-Pay/Insurance Processing Agreement
- Patient Rights and Responsibilities
Disclaimer: You do not have to answer questions in the patient packet health questionnaire that you do not feel comfortable answering.