Patient Portal

 

Stay connected with your healthcare team and access your personal medical information anytime online with HealtheLife.

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Forms

To download a form, please select a link below.

(for legal personnel) Evidence Code 1158 Authorization For Disclosure of Health Information (for legal personnel) Evidence Code 1158 Authorization For Disclosure of Health Information (641 KB)

(for patients) Medical Records Request / Authorization for Disclosure of Health Information (for patients) Medical Records Request / Authorization for Disclosure of Health Information (760 KB)

Appointment Policy Notice Appointment Policy Notice (580 KB)

Medical History Medical History (634 KB)

New Patient Information Form New Patient Information Form (627 KB)

Notice Of Privacy Practices Notice Of Privacy Practices (646 KB)