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Patient Forms

Nephrologists

Alberto Casaretto, M.D. / Wayne R. Kotzker, M.D. / Brenda Bourassa, D.O. /
Reinaldo Rosario, M.D. / Zachary Yablon, M.D. / Parham Eftekhari, D.O. / Carlos Duran, M.D / Faizul Hussain, D.O.

REHC provides you with downloadable new patient forms that you can complete prior to your visit. Please take the time to complete each form listed below, print out the form and bring it with you to your appointment. You can also download, complete and send them by email with the subject “Patient Forms”.

NEW PATIENT PACKAGE





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Take a photo of your ID Card and upload it here:

Take a photo of your Insurance Card and upload it here:

1 in 3 American adults is currently at risk for developing kidney disease.

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Doctor’s Office Locations

407 SE 9th St
Fort Lauderdale, FL 33316
T: 954-463-0112 F: 954-463-0117

Mon-Fri 8.30am-5.00pm

Dr. Alberto Casaretto, M.D
Dr. Wayne Koyzker, M.D
Dr. Brenda Bourassa, D.O
Dr. Reinaldo Rosario, M.D
Dr. Zachary Yablon, M.D
Dr. Nisha Bhatt, M.D
Dr. Parham Eftekhari D.O

4534 N Federal Hwy
Fort Lauderdale, FL 33308

T: 954-493-9774 F: 954-493-8761

Mon-Fri 8.30am-5.00pm

Dr. Alberto Casaretto, M.D
Dr. Reinaldo Rosario, M.D
Dr. Brenda Bourassa, D.O
Dr. Zachary Yablon, M.D
Dr. Nisha Bhatt, M.D
Dr. Parham Eftekhari, D.O

670 Glades Road, Suit 110
Boca Raton, FL 33431
T: 561-368-0235 F: 561-368-0281

Mon-Fri 8.30am-5.00pm

Dr. Alberto Casaretto, M.D
Dr. Alberto Casaretto, M.D
Dr. Wayne Kotzker, M.D
Dr. Zachary Yablon, M.D
Dr. Reinaldo Rosario, M.D
Dr. Brenda Bourassa, D.O
Dr. Carlos Duran, D.O

2655 W Atlantic Ave
Delray Beach, FL 33445
T: 561-368-0235 F: 561-368-0281

Mon-Fri 8.30am-5.00pm

Dr Wayne Kotzker, M.D
Dr. Zachary Yablon, M.D
Dr. Carlos Duran, M.D

700 Atlantic Blvd, Suite 101
Pompano Beach, FL 33060
T: 954-493-9774 F: 954-493-8761

Mon-Fri 8.30am-5.00pm

Dr. Alberto Casaretto, M.D
Dr. Reinaldo Rosario, M.D
Dr. Zachary Yablon, M.D
Dr. Brenda Bourassa, D.O

2916 N State Road 7
Lauderdale Lakes, FL 33313
T: 954-493-9774 F: 954-493-8761

Mon-Fri 8.30am-5.00pm

Dr. Reinaldo Rosario, M.D
Dr. Nisha Bhatt, M.D

Affiliated Hospitals

REHC Dialysis Centers

998 NW 9th Court
Boca Raton, FL 33486

T. 561-392-3940 F. 561-395-5663

Mon-Fri 8.30am-5.00pm

Dr. Casaretto – Medical Director

160 NW 176th St
Suite 100, Miami, FL 33169
T. 305-653-6033F. 305-653-0118

Mon-Fri 8.30am-5.00pm

Eftekhari – Medical Director

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