ELECTRONIC FORMS

Streamline your arrival in the doctor’s office with pre-visit registration and check-in.
Dr. Samuel Botros is excited to offer you the ability to complete your intake process privately and conveniently prior to your appointment.

A Pre-Visit email and text message will be sent out to specific appointments, providing you with a private way to give your doctor all the information he or she needs for your upcoming visit, and saving you time in the waiting room.

MEDICAL HISTORY  ENGSPA

PATIENT REGISTRATION FORM  ENGSPA

PATIENT CONSENT FOR USE AND DISCLOSURE

NOTICE OF PRIVACY PRACTICES  ENGSPA