Forms

Please complete your forms and send them to us by email (info@drbecktorres.com) or fax (561-964-8961) prior to your appointment.  Thank you!

Existing Patients

• Patient Information
• Patient Medical Update Information
• Authorization for Disclosure of Health Information
• Patient Responsibility

New Patients

• Authorization for Disclosure of Health Information
• Gynecological History
• Malpractice Insurance Notification
• Patient Information
• Request for Medical Records
• Patient Responsibility

Weight Loss

• First Line Therapy Questionnaire