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Intake Forms

Please arrive to your appointment 15 minutes early to fill out new patient paperwork if unable to download or print the initial intake forms.  Take note, each intake form is specific to the service you are receiving and if you are pregnant or interested in fertility treatments you must fill out the forms focused on pregnancy or fertility instead of the first form.

>> Notice of Privacy Practices (HIPAA Information)

>> Release of Health Information Form

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4405 Manchester Ave. Suite 208
Encinitas, CA 92024

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