Your Physician May Request You Complete Forms If You Are Joining as a New Patient

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Dr. Ekta Lakhani

1. Dr. EKTA Lakhani FHO Form + E-Consent using HelloSign

2. ​Dr. EKTA Lakhani FHO Form Print Only 

 

Dr. Aditi Lakhani

1. Dr. ADITI Lakhani Registration Forms + E-Consent using Electronic Signature

2. ​Dr. ADITI Lakhani FHO Form Print Only

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Dr. Matthew Narine

1. Dr. Matthew Narine FHO Forms + E-Consent Using Electronic Signature

2. ​Dr. Matthew Narine FHO Form Print Only 

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Dr. Edwin Wu

*Clinic Guidelines and FHO Form must be signed and/or initialed to accept.  E-Consent is optional*

1. Dr. Edwin Wu FHO Form+ Clinic Guidelines + E-Consent Using Electronic Signature

2. ​Dr. Edwin Wu Welcome Letter Print Only 

3. ​Dr. Edwin Wu FHO Form Print Only

4. ​Dr. Edwin Wu Clinic Guidelines Print Only

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Dr. Shazeen Bandukwala

1. Dr. Shazeen Bandukwala FHO Form 

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Dr. Nickolaos Katsieris

1. Dr. Nickolaos Katsieris FHO Form + E-consent Using Electronic Signature

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