Patient Forms
In an effort to save time and make things easier for our patients, we have posted all the required admittance forms on-line. There are 4 forms including the HIPPA Privacy Notification for each center. Please use the forms that correspond to the center you will be receiving treatment. Click on the documents below (PDF files) to download, print and bring the completed forms with you to your scheduled appointment. Adobe Acrobat Reader installation may be required to view and print files.
If you have any questions, please contact the center at (866) 964-8101 to be connected to a center nearest you.
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Redhawk Center
• Authorization to Release Records
• Patient Registration
• Physician List
• HIPPA Patient Privacy Rights Notification
Wildomar Center
• Authorization to Release Records
• Patient Registration
• Physician List
• HIPPA Patient Privacy Rights Notification
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Adobe Reader
Adobe Acrobat is the global standard for electronic document sharing and allows you to view and print archived files easily. 
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