Sirlys Arcon-Rios, MD
Welcome to Baptist Endocrinology. To help expedite your first visit, we provide our health forms online so that you can print and complete them at your convenience. If you have any questions, please don’t hesitate to contact our office staff.
Baptist Endocrinology Forms:
If you are a new patient, please read this letter from the practice that outlines what to bring with you and some things to expect at your first appointment.
Endocrinology Medical Records Request or Release
Endocrinology Health Care Status Authorization. Please fill out and bring this form to your appointment.
Endocrinology Registration. Please fill out and bring this form to your appointment.
Provides us with important information about your medical and family history to better diagnose, treat or prevent conditions.
Requires Adobe® Acrobat Reader or Apple® Preview application. Click [ HERE ] to download and install the latest version of the Adobe® Acrobat Reader. Once you have the reader installed, you will be able to open and print the selected form.