Eastlake Family Medical

Eastlake Family MedicalEastlake Family MedicalEastlake Family Medical

(619) 946-4073

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  • Services
  • About Us
  • Contact Us
  • Patient Intake Forms
  • Our response to COVID-19
  • More
    • Home
    • Services
    • About Us
    • Contact Us
    • Patient Intake Forms
    • Our response to COVID-19

(619) 946-4073

Eastlake Family Medical

Eastlake Family MedicalEastlake Family MedicalEastlake Family Medical

  • Home
  • Services
  • About Us
  • Contact Us
  • Patient Intake Forms
  • Our response to COVID-19

Downloads

Patient Intake Forms that are available to print at home, prior to a doctor visit.

HIPAA Release Form (pdf)Download
HIPAA Notice of Privacy Practices Document 1 (pdf)Download
HIPAA Notice of Privacy Practices Document 2 (pdf)Download
HIPAA Notice of Privacy Practices Document 3 (pdf)Download
Insurance/Appointment Policy (pdf)Download
Medical Record Release Form (pdf)Download

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