If you are a new patient, or if you have been instructed to do so by one of our health center staff, please print, fill out and bring the following paperwork with you:
Medical History Form:
Female Medical History Form (English)
Female Medical History Form (Spanish)
Male Medical History Form (English)
Demographic Form:
Demographic Form (English)
Demographic Form (Spanish)
Please read our HIPAA Privacy Policy.
For questions on medical forms, contact the health center nearest you.
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