Forms

New patients:

We strive to make it as easy as possible to visit our Las Vegas and North Las Vegas medical center locations. Please print the following forms and fill out completely. Return to Red Rock Medical after completion. This will be one less step you will have to complete when you visit our doctors’ offices.

You may also fax completed forms to:

Eldorado Medical Center @ 702-649-3709

Redrock Medical Group @ 702-877-0399

• Initial History & Physical (.pdf)
• HIPAA Notice of Privacy Practices (.pdf)
• Individual Patient’s Authorization (.pdf)
• Collection Policy (.pdf)
• Advance Directive / Advance Care Planning (.pdf)
• Patient Registration (.pdf)