- 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.