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New Patient Forms
Authorization for Release of Medical Records (to have records sent to Dr. Mohamed) helpful, not required, please mail/fax to your previous doctor
New Patient Registration Forms (3 pages)
Payment Policy Forms (2 pages)
Email Consent Form (1page)
Prescription Refills- read me only
Forms and Non covered Charges- read me only
Appointment Scheduler- will open in a new page. You will need to make up a user name and password. Make sure you get a confirmation number, or your appointment was not saved!
Click here to register and make an appointment
Free download of Adobe Reader (needed to read above forms)