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Appointment Check-in documents

To expedite your appointment check-in, you may fill out the appropriate form(s) below to bring with you to your appointment. The forms are available in MS Word format.

Consent for release of medical information

Family Patient History

HIPPA

Kaiser Release Form page 1, page 2

Patient Information

Permission to Treat Children

Spouse Release


Miscellaneous documents

Notice of Privacy Practices

Urgent Care locations, phone numbers.

 

   
 
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