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  The following are Adobe Acrobat (PDF) files.  Feel free to print these forms ahead of your doctor appointment and complete them prior to your doctor appointment.  Please note that some departments may have additional forms to complete upon arrival.  

Advance Directive Form   (click here to learn more)

HIPAA Form

Medical History Form

*Adobe Acrobat Reader is a free program. 

 
 
                 
 

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Centre for Health Care Administration, 
15611 Pomerado Road, Poway, CA 92064
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