Tricia Agustin, MD

Forms & Tools:

New Patient Registration (En Espanol)
Your Health History
Medical Records Release Form
Patient Rights and Responsibilities
HIPAA Notice of Privacy Practices (En Espanol)
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

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, Anthem, Humana, Medicare, Senior Care Plus, Scan, United Healthcare AARP PPO Only 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.

Schedule your appointment.

Name(Required)

Phone(Required)

New Or Exisiting

New Patient

Existing Patient

The reason for your appointment

Date(Required)

Time(Required)

Appointment Type(Required)

Preferred Provider(Required)

Anything else we should know? (Optional)