Medical Forms

To save time, before coming in to any of our health centers, please download, print, and fill out the following forms. If you have Medi-Cal insurance you must also bring a picture ID.

Patient Registration Form

Family PACT Form

For Patients

Gender Affirming Care
Health Center Hours & Locations
Medical Forms
- Online Appointment Scheduling
Notice of Health Center Privacy Practices
Payment and Insurance Options
Security Information
Telehealth
Vasectomy Services
You Have the Right to a Cost Estimate