All new patients are required to fill out the following four forms. Please click on each form to print. Fill out each form completely/sign and bring them with you to your scheduled appointment. If you haven't already scheduled an appointment please call (559) 435-3542.

 

 

 

 

New Patient Forms

Patient_Information_Sheet.pdf
Release-of-Medical-Records-Form-2012.pdf
RKE-Financial-Policy-2012.pdf

HIPAA-FORM.pdf