New Patients

Welcome! Thank you for choosing Avenue 360 for you and your family’s health care needs. If you are a new patient requesting an appointment, please provide your information here and a team member will get back to you.

New Patient Registration Forms

In English:

• Patient Registration
• Patient Rights and Responsibilities
• Medical Consent
• Prescription Medication Consent
• Income and Insurance
• Medical Dental Records Request and Release Form

En Español:

• Registro de Pacientes
• Derechos y Responsabilidades del Paciente
• Consentimiento Médico
• Consentimiento para Medicamentos Recetados
• Ingresos y Seguro
• Autorización para Solicitar y/o Divulgar Registros Medicos y/o Dentales