Patient Forms

PATIENT FORMS


New Patients

If you are new to our practice, please download, review, and complete the following forms prior to your visit. Please call us at (530) 566-9461 if you have any questions.

  1. Patient Information Form
  2. Patient History Form
  3. Notice of Privacy Practices - Please review this document and sign the form in #4 below.
  4. HIPAA Notice of Privacy Practices (to sign) - Please sign this after reviewing the Notice of Privacy Practices in #3 above.
  5. Financial Policies