Patient Forms


New Patients

If you are new to our practice, please download, review, and complete the following forms prior to your visit. Please call us at (530) 566-9461 if you have any questions.

  1. Patient Information Form
  2. Patient History Form
  3. Notice of Privacy Practices - Please review this document and sign the form in #4 below.
  4. HIPAA Notice of Privacy Practices (to sign) - Please sign this after reviewing the Notice of Privacy Practices in #3 above.
  5. Financial Policies