Patient Forms

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• Please download and fill out the following forms prior to your appointment. 
• Click the "Download" button under each form, and save on your computer desktop.
• Open the forms and type in required information.
• Be sure to SAVE your filled out form before electronically submitting.
• You may print the forms and submit via email or fax,  or fill out the forms using the entirely paperless option.

Paperless: If you choose a paperless option, and choose to fill out the forms from your computer for email submission, adding a “forward slash” symbol before and after your typed signature denotes an accepted substitute for your written signature (example: /First Name Last Name/ ).

Email to: patientservices@hengmedicalinc.com or Fax to: (805) 482-7213.