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Welcome, From Martin G. Gregorio M.D. & Associates

Thank you for choosing Martin G. Gregorio M.D. & Associates for your health care. Please know that our doctors, nurses and administrators value the trust you have placed in us and will do all they can to meet your expectations for quality medical care.

What to Bring to Your First Vist

Please print out the appropriate forms (below) at home prior to your appointment, fill them out, and bring them with you. If you do not have these forms completed upon your first office visit you will be provided with a blank copies and asked to complete them in the waiting room prior to seeing the Doctor.

If you are insured, the office staff will ask to see your insurance card.

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New Patient Intake Form - Contact Information

All new patients are asked to fill out a New Patient Intake – Contact Information Form, so our Doctors can better prepare for your specialized care and have access to your best contact information.

Download PDF(opens in a new tab)(opens in a new tab)ONLINE FORM

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Medical Records Release Authorization Form

For new patients who wish to transfer their medical records from another medical practice to Dr. Gregorio’s office. Please fill out this Medical Records Release Authorization Form so our Doctors can access your prior health records.

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Medical Records Release Authorization Form

For any of our existing patients who wish to transfer medical records From Dr. Gregorio & Associate’s Office to Another Health Care Provider.

Download PDF(opens in a new tab)(opens in a new tab)ONLINE FORM

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Patient Wellness Questionnaire (For Seniors Over Age 65)

All new senior patients age 65 or older are asked to fill out this Health Questionnaire Form, so our Doctors can better prepare for your specialized care.

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My Medicine List Form (For All Patients)

My Medicine List – This form helps you and your family members remember all of the medicines you are taking. Take this form with you on all visits to your clinic, pharmacy, hospital, physician, or other providers. More detailed directions are included on the form.

Download PDF(opens in a new tab)(opens in a new tab)ONLINE FORM

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Advance Directive Declaration (For Seniors Over Age 65)

All new senior patients age 65 or older are asked to fill out an Advance Directive Declaration Form, so our Doctors can administer specialized care should you become incompetent.

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If for some reason you are unable to open a PDF file a hard copy will be available in the office prior to your appointment.

  • For our physicians to treat you most effectively, we will ask you to fill out a patient information questionnaire at your first visit. Please bring information about past and current medical treatments and illnesses you have had, including approximate dates.
  • Know if you have met your insurance company’s deductible. If you are not sure, call your insurance company. A toll-free number will be on your insurance card.
  • If you are a Medicare patient, remember there is an annual deductible that must be met.
  • You will be responsible for the amount of co-payment at the time of treatment. We accept cash, checks, debit/credit cards (MasterCard/Visa).