In order to expedite our ability to serve you during your first visit to our office, you can download and fill out the attached Health History Form at home, and bring it with you to your first appointment. This form is vital to allow us to provide you with the appropriate care.

We offer this form in either English or Spanish versions for additional convenience.

Health History Form

Click Here
(The form will open in a new window)

Formulario de Historial de Salud

Click Aqui
(El formulario abrira en una nueva ventana)

When the form open you will be able to print it. Please fill it out and bring it to the office or fax it to: Fax: (909) 447-7094