Patient Medical Forms for Our Medical Care Services in Lancaster, CA or Valencia, CA
To help make the medical care you receive from AVORS Medical Group easier and more efficient, here we've provide you with health-related packets, forms, agreements and notices. Click on the links below to download the .pdf forms. Then print and fill them out in the privacy of your home, and bring them with you completed to your appointment. Please print all forms on white colored paper only.
If you need assistance regarding patient forms, please call our receptionists in Lancaster (661) 726-5005 ext. 100 or Valencia (661) 705-5100.
New Patient Packet
Patient Information, Insurance Information, Assignment & Release, Physician-Patient Arbitration Agreement, Payment Policy, Authorization to Release Medical Information, Notice of Privacy Practices Acknowledgement, Pain Management/Chiropractic Agreement, and Health History Questionnaire.
Work Physical
Patient Information, Pre-Participation Evaluation Medical History, and Work/DMV Physical Evaluation Results.
EDD State of California
For information regarding state disability insurance benefits, go to www.edd.ca.gov.
