Additional Information Request How do I become a patient? ¿Cómo me convierto en paciente? If you have been requested to submit additional information, this portal was developed to allow you to complete the needed sections of our application quickly and efficiently. You need only to complete the documents that have been requested. Insurance Information / insurance card front and back Photo ID SCHOOL pROGRAM cONSENT consent to treat HIPAA Consent to exchange information Remote supervision consent Consent for minor (Proxy) discount fee application