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Call us: (559) 299-7700

Email us: info@wsfc.com

   
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Patient Forms & Consent Forms

Forms are to be filled out by those who have existing appointments ONLY
Appointments are not made online.

Patient Forms – English

Please complete all of the following forms from the below:

  • Welcome to our Practice
  • Patient Information Form
  • Incoming Medical Records Release From
  • Outgoing Medical Records Release Form
  • Consent for treatment during the Coronavirus (COVID-19) Pandemic
Formularios Del Paciente – En Español

Pacientes, descargue y complete los siguientes formularios de consentimiento.

  • Bienvenidos a nuestra práctica
  • Autorizacion para la divulgacion de registros medicos divulgacion de informacion de salud protegida
  • Autorizacion para la divulgacion de registros medicos divulgacion de informacion de salud protegida
  • Formulario de información del paciente
  • Consentimiento para tratamiento durante la pandemia de Coronavirus (COVID-19)

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© 2021 Women's Specialty & Fertility Center
A Member of Santé Foundation Medical Group & part of Santé Health Foundation