Forms

Prior to your first appoitment, please fill out either the Adult or Child New Patient Form. The Release of Information Form is optional and should be completed if you wish Dr. Vigil-Otero to release information to OR obtain information from an indiviudal or institution.

  • File

    ADULT-New Patient Form

     (133K)
    If you are 18 or older, please print, complete and bring this form to your first appointment.
  • File

    CHILD-New Patient Form

     (128K)
    If you are a parent seeking treatment or testing for your minor child, please print, complete and bring this form to your child's first appointment.
  • File

    RELEASE of Information

     (183K)
    Please complete this optional form if you would like Dr. Vigil-Otero to coordinate your treatment with another provider, such as your primary care physician or psychiatrist. Fill out a separate form for each individual you wish to authorize.