Patient Instructions & Forms
Preparing for your Visit at The Bethencourt Group
Complete and accurate records and information is important for your care.
Please be sure to read, complete, & sign where indicated on all of the forms provided.
Required Forms for New Patients
- You can download New Patient forms below
- We’ll be glad to email you our New Patient forms – Contact our office
- We’ll be glad to mail you our New Patient forms – Contact our office
- You can drop off, email, or fax your completed forms prior to your appointment (preferred)
- Call our office at 562-988-9333 for information
- Call 1 hour prior to your appointment
- Let us know in advance if you will need an interpreter and what language
Bring the following to your appointment
- Your completed paperwork
- Insurance card
- Picture ID
- Any information requested at the time your appointment was made
- If applicable include your referring physician and primary care physician’s information
Download Patient Forms
To view the forms listed below, you will need Adobe Reader.