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Forms

Forms

Formseadmin2025-05-01T18:08:43+00:00
New Patient Forms
New OB | PRENATAL PATIENT FORMS
NEW OB FORMS
New ADULT FAMILY MEDICINE FORMS
NEW ADULT FORMS
NEW CHILD FORMS
NEW CHILD FORMS
Individual Forms

HEALTH HISTORY

Health History OB / PRENATAL
OB Health History Form
Health History ADULT
ADULT Health History Form
Health History CHILD
CHILD Health History Form

RELEASE OF RECORDS

Release of Records / Disclosure Authorization
RELEASE OF RECORDS

ADVANCED DIRECTIVES

Advanced Directive / Living Will
ADVANCED DIRECTIVE
Physician Order for Life Sustaining & DNR
LIFE & DNR

Address

460 Greenfield Ave. #3
Hanford, CA 93230
Call us: 559-584-5770

Family Medicine & Obstetrics

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