Internal Medicine Forms

Below is a list of common forms the Internal Medicine Department uses.

• Adult Health History Form (.pdf)
• Advanced Health Care Directive (AHCD)

Medical Records Access:

• 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, Portola Valley and Redwood City
• For patients seen in Cupertino, Los Gatos, Mountain View, Santa Clara and Sunnyvale