Forms & Tools:
New Patient Registration (En Espanol)
Your Health History
Medical Records Release Form
Patient Rights and Responsibilities
HIPAA Notice of Privacy Practices
Acknowledgment of Receipt
General Consent for Care and Treatment
Consent to Contact
HIPAA Contact Disclosure
Consent to Obtain Patient Medication History
Our Care Model
How To Choose a Doctor
Tricia Agustin, MD
Family Medicine
Languages:
English, Tagalog
Medical School:
De La Salle University College of Medicine; University of Santo Tomas
Board Certifications:
American Board of Family Medicine
Insurances Accepted:
Aetna, Alignment Health, Anthem, Humana, Senior Care Plus (Hometown Health) and WellCare
Existing P3 patient.
If you are a current P3 patient please book an appointment through our online patient portal.
Select an appointment date and time that works best for you.
Note: You must be registered for our P3 patient portal.
New P3 patient.
To schedule your first appointment with us, please complete the form below. A member of our care team will contact you shortly to book a day and time to visit one of our providers.
