Registration & Forms
- Patient Information
- Patient Medical History
- Advanced Directive Notification
- Authorization To Designate Release Of Health Information
- Authorization For Release Of Records
- Authorization to Disclose Health Information
- HIPAA Privacy Policy Statement
- CA Advanced Health Care Directives
- Office Policies Signature Sheet
- Request or Refusal for Language Interpretive Services
- Office Policies for Our Valued Patients
- Acknowledgement of Receipt
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Click here for directions
We are located in
Palm Springs, CA 92262