NEW PATIENTS – Please click the link below to fill out our online Patient Registration Form, Health History Form and our Disclaimer. Then print these out and bring them, along with your insurance card and a picture ID at the time of your appointment.
"Dr. Sandler, thank you! Your office team has been so wonderful to work with, it’s been such a breath of fresh air for what I’m used to dealing with around this super congested city… I definitely speak very highly of you all when talking about my upcoming surgery, but only because you’ve earned it! Thank you all again!"
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)