Information/Forms

Visting our Office:
We are located on Mount Sinai Medical Center Campus. Our offices are in the Golden Building at 4308 Alton Road, Miami Beach, Florida. We are in Suite 880. Our office building is across the street from the Mount Sinai Emergency Room. Parking is available in the garage.

Please remember to bring a photo ID and any insurance information with you at the time of your appointment. We have attached our patient forms for your convenience. If you wish, you may download them, fill them out and bring them with you at the time of your appointment.

COVID-19 Precautions:
Due to COVID-19, all visitors are required to wear masks. You will be provided with sanitizer and your temperature will be checked upon arrival. Our staff may ask you about potential COVID-19 exposure and recent travel. We take this precautions for your well-being and that of our staff. Thank you for your cooperation.

PATIENT REGISTRATION PACKET FORMS
*FORMS REQUIRED FOR NEW PATIENTS

PrivaMedis Concierge General Form Intake
PrivaMedis Records Release Form
Privacy Notice – English
Privacy Notice – Spanish