Thank you for choosing Miki and Alfonso Hand and Upper Extremity Center. We look forward to your visit.
If you would like to complete the new patient paperwork prior to your visit, please print the required forms and bring them completed to your appointment. If you would prefer to complete the new patient paperwork at the time of your appointment, our front desk staff can provide these forms to you at the time of your check-in.
Step 1: Please complete the New Patient Intake Form (English and Spanish).
Step 3: Please complete the form that applies to your situation.
Situation 2: I was involved in an accident and will be using a Personal Injury Protection (PIP) Policy (English or Spanish) and my health insurance as secondary. (Note: Three more forms required on check-in.)
Situation 4: I have an attorney and will be being seen under an Letter of Protection which my attorney has arranged.
Step 4: Bring your completed paperwork to your appointment.