Patient Forms

For your convenience, we have new patient forms available to download that you may fill out and have ready with you for your first visit. If you have insurance coverage, it would also be ideal to have your necessary paperwork ready with you, so we may assist you in receiving your benefits.

As always, if you have any questions at all, please contact Dr. Lastra or any of our friendly staff, and we will be happy to assist you.

Please fill out these forms prior to your first visit. You may submit your forms by mail or email, or bring them with you for your first visit.

You may download our new patient forms below:


These forms require Adobe Acrobat Reader to view. If you do not have Adobe Reader already installed on your computer, click the Adobe logo above to download.