Patient Forms

Looking for a new OB/GYN physician?

We’re glad you’re here. Dr. Michael Fleischer and his team are now accepting new patients of all ages and would like to hear from you.

If you’d like to enroll as a patient at Boca OB/GYN, you can request an appointment online or call our office at 561.488.9719.

Patient Forms

The following patient forms are available for your convenience; completing them now will save time when you visit our office.

Patient Registration (PDF)
Privacy Practices / HIPAA (PDF)
Insurance Authorization (PDF)
Notice to Patients (PDF)
Email Consent (PDF)
Fees And Insurance Information (PDF)
Patient Consent (PDF)
Authorization to Disclose Protected Health Information (PDF)

We look forward to meeting you, learning about your unique needs and welcoming you into the Boca OB/GYN family.