New Patients

Santa Lucia Medical Group » New Patients

new-patient

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Your First Visit

Please arrive a few minutes prior to your scheduled visit in order to complete your registration and medical forms. For your convenience, these forms can be downloaded and completed prior to your visit:

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Download & Print Forms

Please remember to bring these with you in order for us to expedite the check-in process.

Patient Registry Form

English Spanish

Medical History Form

English Spanish

Financial Policy Form

English Spanish

HIPPA Form

English Spanish

Release Protected Health Form

English Spanish

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Visit Requirements

In addition, we ask that you bring the following documents to your first visit:

  1. Photo ID or driver’s license
  2. Health Insurance Card
  3. List of all current medication
  4. List of all allergies And any other information that you feel would be important for us to know.
  5. Bring an adult Social Security Number
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