PAMF Patient Forms

No need to stop by one of our locations to pick up our most commonly used patient forms. Download what you need here.

• Medical History Forms for New Patients
• Release of Health Information
• Advance Health Care Directive
• Medicare

Medical History Forms for New Patients

The following forms have been made available for new PAMF patients. Prior to your first visit with us, download and print the appropriate form. Please complete the form and bring it with you to your initial appointment.

• Pediatrics & Teen Medical History Form
  
• Adult Medical History Form

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Release of Health Information

• For patients seen in Aptos, Capitola, Santa Cruz, Scotts Valley, Soquel and Watsonville
• For patients seen in Dublin, Fremont, Los Altos, Menlo Park, Palo Alto and Redwood City
• For patients seen in Cupertino, Los Gatos, Mountain View, Santa Clara and Sunnyvale

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Advance Health Care Directive

This document enables you to communicate your wishes to your family and caregivers in the event of a serious medical condition whereby you cannot speak for yourself. You may obtain an Advance Health Care Directive form from your provider to discuss and complete, or visit our Health Maintenance Guidelines for Advance Health Care Directive Forms
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Medicare

Medicare Secondary Payer Questionnaire (MSPQ)
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