Patient Forms

New Patients should complete the New Patient Intake Form prior to your in-person visit. Please bring this completed form with you. It is also highly recommended that individuals who are having their first visit with Dr. Roca via telephone also complete this form and email it to info@drhenriroca.com.

Intake Patient Form (pdf)

Cancellation Policy (pdf)

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Fusce sed metus et nisl gravida placerat ut a justo. Aliquam ante erat, elementum a dui eget, placerat malesuada magna. Quisque aliquam ligula diam.