Thank you for choosing Pacific Medical Centers as your partner in healthcare! As an added convenience to our new patients, we now offer downloadable patient registration forms that you can print and fill out at home before your first appointment. This will allow us to see you that much faster.

Unfortunately, we are not able to accept faxed or e-mailed registration forms at this time. Please bring the completed form with you to your first appointment. Pre-registration is not required.

The free Adobe Acrobat Reader is necessary to view and print the PDF files below, and is available here for download.

The second sheet of the New Patient Adult Health History form is inverted, but you can fill it out once it’s printed. Thank you!