{"id":90,"date":"2015-08-27T13:19:19","date_gmt":"2015-08-27T17:19:19","guid":{"rendered":"https:\/\/www.childrenseyemd.com\/new-patient-forms\/?lang=es"},"modified":"2025-03-26T05:37:23","modified_gmt":"2025-03-26T09:37:23","slug":"formas-para-pacientes-nuevos","status":"publish","type":"page","link":"https:\/\/www.childrenseyemd.com\/es\/formas-para-pacientes-nuevos\/","title":{"rendered":"Formas Para Pacientes Nuevos"},"content":{"rendered":"<div class=\"col\">\n<h2><span class=\"Y2IQFc\" lang=\"es\">Formularios para pacientes nuevos de NI\u00d1OS<\/span><\/h2>\n<p><small><\/small><span class=\"Y2IQFc\" lang=\"es\">Haga clic en el formulario que desea imprimir:<\/span><\/p>\n<ul>\n<li><a href=\"https:\/\/www.childrenseyemd.com\/wp-content\/uploads\/2025\/03\/new-patient-info-sheet-2025.pdf\" target=\"_blank\" rel=\"noopener\">Informaci\u00f3n Para Nuevos Pacientes Pedi\u00e1tricos<\/a><\/li>\n<li><a href=\"https:\/\/www.childrenseyemd.com\/wp-content\/uploads\/2019\/03\/CHILDRENS-NEW-PATIENT-INFO-3.2.19.pdf\" target=\"_blank\" rel=\"noopener\">Formulario de Informaci\u00f3n Para Nuevos Pacientes<\/a><\/li>\n<li><a href=\"https:\/\/www.childrenseyemd.com\/wp-content\/uploads\/2025\/03\/ChildMedicalHistoryQuestionnaireSpanish2.25.pdf\" target=\"_blank\" rel=\"noopener\">Formulario De Historia Medica<\/a><\/li>\n<li><a href=\"https:\/\/www.childrenseyemd.com\/wp-content\/uploads\/2025\/03\/HIPAA-AwarenessandTelemedicineConsentSpanish.1.25.pdf\" target=\"_blank\" rel=\"noopener\">Formas De HIPPA<\/a><\/li>\n<li><a href=\"https:\/\/www.childrenseyemd.com\/wp-content\/uploads\/2025\/03\/InsuranceWaiver-Spanish2.25.pdf\" target=\"_blank\" rel=\"noopener\">Renuncia de Seguro<\/a><\/li>\n<li><a href=\"https:\/\/www.childrenseyemd.com\/wp-content\/uploads\/2025\/03\/InsuranceNonCoveredServicesWaiverSpanish1.25.pdf\" target=\"_blank\" rel=\"noopener\">Exenci\u00f3n de Seguros Y Servicios No Cubiertos<\/a><\/li>\n<li><a href=\"https:\/\/www.childrenseyemd.com\/wp-content\/uploads\/2025\/03\/ReleaseofRecords1.25.pdf\" target=\"_blank\" rel=\"noopener\">Liberar Registros M\u00e9dicos<\/a><\/li>\n<\/ul>\n<\/div>\n<div class=\"col\">\n<div id=\"tw-target-text-container\" class=\"tw-ta-container tw-nfl\" tabindex=\"0\" role=\"text\">\n<h2 id=\"tw-target-text\" class=\"tw-data-text tw-text-large tw-ta\" dir=\"ltr\" data-placeholder=\"Translation\" data-ved=\"2ahUKEwjSgpjP5ImMAxWwq4kEHfcaOLkQ3ewLegQIDBAV\" aria-label=\"Translated text: Nuevos formularios para pacientes ADULTOS\"><span class=\"Y2IQFc\" lang=\"es\">Nuevos formularios para pacientes ADULTOS<\/span><\/h2>\n<\/div>\n<p><span class=\"Y2IQFc\" lang=\"es\">Haga clic en el formulario que desea imprimir:<\/span><\/p>\n<ul>\n<li><a href=\"https:\/\/www.childrenseyemd.com\/wp-content\/uploads\/2022\/01\/ADULT-INFO-PAGE.pdf\" target=\"_blank\" rel=\"noopener\">Formulario de Informaci\u00f3n Para Nuevos Pacientes<\/a><\/li>\n<li><a href=\"https:\/\/www.childrenseyemd.com\/wp-content\/uploads\/2025\/03\/AdultMedicalHistory-QuestionnaireSpanish.pdf\" target=\"_blank\" rel=\"noopener\">Formulario De Historia Medica<\/a><\/li>\n<li><a href=\"https:\/\/www.childrenseyemd.com\/wp-content\/uploads\/2025\/03\/HIPAA-AwarenessandTelemedicineConsentSpanish.1.25.pdf\" target=\"_blank\" rel=\"noopener\">Formas De HIPPA<\/a><\/li>\n<li><a href=\"https:\/\/www.childrenseyemd.com\/wp-content\/uploads\/2025\/03\/InsuranceWaiver-Spanish2.25.pdf\" target=\"_blank\" rel=\"noopener\">Renuncia de Seguro<\/a><\/li>\n<li><a href=\"https:\/\/www.childrenseyemd.com\/wp-content\/uploads\/2025\/03\/InsuranceNonCoveredServicesWaiverSpanish1.25.pdf\" target=\"_blank\" rel=\"noopener\">Exenci\u00f3n de Seguros Y Servicios No Cubiertos<\/a><\/li>\n<li><a href=\"https:\/\/www.childrenseyemd.com\/wp-content\/uploads\/2025\/03\/ReleaseofRecords1.25.pdf\" target=\"_blank\" rel=\"noopener\">Liberar Registros M\u00e9dicos<\/a><\/li>\n<\/ul>\n<\/div>\n<p>Cada formulario se puede imprimir en papel tama\u00f1o carta. Por favor llene y tenerlos listos cuando llegue a la oficina.. Si su computadora no tiene instalado Adobe Acrobat Reader, tendr\u00e1 que descargar e instalar Acrobat Reader primero haciendo <a href=\"http:\/\/get.adobe.com\/reader\/otherversions\/\">clic aqu\u00ed<\/a><strong>.<\/strong><\/p>\n<p style=\"color: #f00;\"><span class=\"waw\">LA VISITA INICIAL DURA APROXIMADAMENTE 1 1\/2 HORAS<\/span>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Cada formulario se puede imprimir en papel tama\u00f1o carta. Por favor llene y tenerlos listos cuando llegue a la oficina.. Si su computadora no tiene instalado Adobe Acrobat Reader, tendr\u00e1 que descargar e instalar Acrobat Reader primero haciendo clic aqu\u00ed. LA VISITA INICIAL DURA APROXIMADAMENTE 1 1\/2 HORAS.<\/p>\n","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-90","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Formas Para Pacientes Nuevos - Lederman &amp; Lederman, LLP<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.childrenseyemd.com\/es\/formas-para-pacientes-nuevos\/\" \/>\n<meta property=\"og:locale\" content=\"es_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Formas Para Pacientes Nuevos - Lederman &amp; Lederman, LLP\" \/>\n<meta property=\"og:description\" content=\"Cada formulario se puede imprimir en papel tama\u00f1o carta. 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Por favor llene y tenerlos listos cuando llegue a la oficina.. Si su computadora no tiene instalado Adobe Acrobat Reader, tendr\u00e1 que descargar e instalar Acrobat Reader primero haciendo clic aqu\u00ed. 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