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

Unless stated otherwise, our online forms are PDF files, which can be read by the free computer program Adobe Acrobat Reader.

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

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 Medical History Form
  
• Adolescent Medical History
  
• Adolescent Parent/Guardian 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 Castro Valley, Dublin, Fremont, Livermore, Los Altos, Menlo Park, Palo Alto, Portola Valley, Redwood City and San Carlos
  
• 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 you may download it here.
Forms:

• Advance Health Care Directives
  
• California Advance Health Care Directive Form
  
• Directiva Por Anticipado De La Atencion De La Salud

If you would like a free consultation with a trained volunteer to discuss the form, please call:

• Dublin – 925-875-6150
  
• Fremont – 510-623-2231
  
• Mountain View – 650-934-7380
  
• Palo Alto – 650-853-2960
  
• Santa Cruz – 831-469-6222

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