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Forms

Welcome to our practice. To enhance your experience, please complete these health forms before your first visit.

Informed Consent

This form ensures that the patient is fully informed about the risks, benefits, alternatives, and potential outcomes of the medical intervention before giving their consent.​

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Hippa Form

A HIPAA form (Health Insurance Portability and Accountability Act form) is a document that authorizes the use and disclosure of a patient's protected health information (PHI). The HIPAA Privacy Rule requires healthcare providers, insurance companies, and other entities to protect patients' private health information and only disclose it when necessary for treatment, payment, or healthcare operations.

Intake Form

This form helps our staff understand the patient's medical history, current health status, and any specific concerns or needs they may have. It is a critical tool for ensuring safe and effective medical care by providing a comprehensive overview of the patient's health background.

Informed Consent

HIPPA form

Intake Form

(858) 573-1104

10444 Clairemont Mesa Blvd
San Diego, CA

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