Boulevard Professional Center
5300 West Millboro Blvd, Suite#101.
Coconut Creek,EL 33073
Call Today For Appointment 954-571-7727
Walk in Welcome
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Patient Forms

Click here to Download Patient Forms

Medical Records Authorization Form
Designate and authorize specific healthcare providers to disclose and/or release your medical records and information.
Medical Records Authorization Form Spanish

New Patient Registration Form
Our online patient registration form helps expedite the registration of new patients, reduces the amount of paperwork necessary to add new patients and speeds the check-in process.

Patient Health History Form
Your medical history is important to your physician in obtaining information useful in formulating a diagnosis and providing the right medical care to you.

Health Care Proxy
Appoint an agent to make health care decisions in the event that you are incapable of executing such decisions.

Patient Feedback
Your feedback is valuable to us. Please tell us about your experience with Manhattan's Physician Group by sending an email to info@aimhc.com

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