New Member Form
To join Dr. Dominguez’s personalized care practice, download and print the New Member Form by clicking on the link below. For your convenience, please fill out the New Member Form prior to your scheduled visit to Dr. Dominguez’s office. Should you have any questions about the contents of the New Member Form, please do not hesitate to call the office during normal business hours.
Terms and Conditions
To view the complete Terms and Conditions for Dr. Dominguez’s personalized care members, click the link below.
For a complete list of insurance providers that Dr. Dominguez is currently contracted with as an in-network participant, click on the link below.