Rancho Sierra Medical Group, Inc.

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Patient Forms
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First Time Visitor
Patients are encouraged to download patient information files and complete these forms prior to their first office visit. Forms can be faxed to you upon request. Please contact us if you need assistance.		All forms are in Portable Document Format (PDF) and require the free Adobe® Reader® to view them.

	Patient Registration [English] Patient Registration [Spanish] Consent for Disclosure of Protected Health Information Patient Questionnaire – Dermatology (complete if seeing Bonnie Hooper, ANP) Patient Questionnaire – Medical (complete if seeing Wayne Hooper, MD) Advanced Beneficiary Notice Privacy Policies Financial Policies Special Financial Plan