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PATIENT FORMS

To save time at your first appointment, feel free to complete the forms in the Initial Assessment folder (Patient Registration Form, Medical History Form, and sign the Notice of Privacy Practices) in advance. Once done, you can send them to us via our HIPAA-compliant text line.

THE CLINIC

4133 Mohr Ave, Suite H Pleasanton, CA 94566

Phone and HIPAA Certified Text: 925-222-3195

​Fax: 925-891-7870

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