Rodolfo Freire, MD

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Welcome

If you are a new patient, please fill out the registration forms listed below in advance of your appointment to assist the staff in making sure that we have all the information necessary to provide you with quality care and treatment. Please bring the completed forms with you to your appointment.

DOCUMENTS AVAILABLE FOR DOWNLOAD

Patient Registration Form

If customers can’t find it, it doesn’t exist. Clearly list and describe the services you offer. Also, be sure to showcase a premium service.

Release of Information

Having a big sale, on-site celebrity, or other event? Be sure to announce it so everybody knows and gets excited about it.

Notice of Privacy Practices

This privacy notice describes how health information about you may be used and disclosed and how you can get access to this information. Please review it carefully.

Office Policies and Financial Disclosures

Are your customers raving about you on social media? Share their great stories to help turn potential customers into loyal ones.

Credit Card on File Authorization

We have implemented a policy which enables you to maintain your credit card information securely on file with RF MEDICAL SERVICES. In providing us with your credit card information, you are giving RF MEDICAL SERVICES permission to automatically charge your credit card on file for your co-pay, deductible, or any outstanding balance.

Office Policies and Financial Disclosures - Spanish

Customers have questions, you have answers. Display the most frequently asked questions, so everybody benefits.