Client Forms
New Client Registration Form
Are you a new client at UIHS? Pleas fill out this form, print it, and bring it to our front desk.
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Family Intake Screening Form
If you are bringing a child or children to UIHS, please fill out this form and bring it to our front desk.
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Notice of Privacy Practices
This Notice describes how medical information about you may be used and disclosed and how you can access this infromation
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Acknowledgement of Notice of Privacy Practices
Please sign, print, and return this form to our office.
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Client Feedback Form
Please click here to download the Client Feedback Form. Once completed, you may return the form to any UIHS clinic for review.
You may also call the Quality Improvement Department at (707) 296-2501 if you have questions or would like assistance.
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