New Patient Registration

To schedule a consultation with Dr. Rodriguez, kindly complete the HIPAA compliant form provided below. Keep in mind that the form necessitates the submission of your insurance card, picture ID, and in some cases two pictures of yourself (if you are seeking facial surgery, body contouring or chest surgery), so ensure you have them readily available for upload. Be aware that the form is extensive and may take up to 15 minutes to complete, so please plan accordingly.

Please understand that the form will only be processed upon filling in all the mandatory fields and successfully uploading the required pictures.

Following the form submission, you can expect to receive an email or a phone call from one of our patient coordinators within 1 to 5 days. They will either confirm your appointment with Dr. Rodriguez or request any additional documents if needed.

Please, be aware that there is a $100 consultation fee that will be collected from you (not for managed Medi-Cal patients) when we call you to give you a virtual consultation appointment with Dr. Rodriguez.

Dr Rodriquez in a blue blazer, holding her glasses in front of her