FORMS

It is our desire to help make your visit to our office as efficient as possible.  We have provided some of the common paperwork that we use so that you can download it, fill it out, and have it ready when you come in. 
This will help make your visit as fast and accurate as possible.

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• New Patient Intake Form - This form is used for all patients that are coming in for counseling regarding an expected trip
  • PDF Format

• GeoSentinel Form - This form is only for medical providers to report illness related to international travel please call our office at 559-243-1179 to receive the password to unlock the file.
  • Click here to download ZIP File

• IIlness after Returned Travel Form - This form is for the patient to fill out before visiting our clinic to be treated for an illness acquired while traveling internationally
  • PDF Format

• Simple Immunizations Form - this form is for a patient who requires immunizations NOT RELATED TO TRAVEL
  • PDF Format