Family First is pleased to make it easy for new patients by providing health-related packets, forms, agreements and notices on-line. Just click on a link below to download (PDF) forms. You can then print and fill them out in the privacy of your home at your own pace, and bring them with you "completed" for your appointment.
Please print all forms on "white paper" only.
Also included for the convenience of our patients, are important links to other web sites.
If you have any questions or need assistance, please call (661) 341-3800 or send email.
New Patient Registation Form
Patient Information, Insurance Information, Assignment & Release, Physician-Patient Arbitration Agreement, Payment Policy, Authorization to Release Medical Information, Notice of Privacy Practices Acknowledgment, and Health History Questionnaire.
Medical Consent, Patient Information, Pre-Participation Evaluation Medical History, and Sports Physical Evaluation Results.
Only originals are now accepted by the DMV, so please pick up this form in our office.
Notice of Privacy Practices
EDD State of California
For information regarding state disability insurance benefits, go to www.edd.ca.gov