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Monday - Thursday: 8:30 am - 5 pm | (205) 978-3570

luis pineda logo

  • Monday - Thursday: 8:30 am - 5 pm | (205) 978-3570

  • Patient Portal

  • Home
  • About
    • About Us
    • Our Staff
    • Open Positions
  • Patient Informaton
    • Frequently Asked Questions
    • Medicare Drug Card FAQs
    • Insurance & Financial Assistance
    • Cooking with Cancer, Inc.®
  • Patient Resources
    • Patient Forms
    • Helpful Links
    • Pay Balance Online
    • HIPAA Privacy
  • News
  • Contact Us

New Patients:

If you are a new patient to our practice please complete all the forms below EXCEPT the yearly update form.
New Patient Information
PHI Permission Form
Release of Information
Consent For Treatment
Medical History
Referral Lab Patient Notice
Patient Rights Notice
Privacy Policy Notice
Patient Yearly Update

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Luis F. Pineda, M.D., P.C.

Luis F. Pineda, M.D., M.S.H.A.
1909 Laurel Rd. Vestavia, AL 35216
Phone: (205) 978-3570 | Fax: 205-978-3565
office@luisfpinedamdpc.com

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