Online Forms
DOWNLOAD FORMS BELOW.
The following is a list of Arthritis Care and Research Center forms available online. These forms can be filled-in, printed using a computer and completed at your convenience in advance of your appointment. You will need a recent version of Adobe Reader to view, fill-in and print these forms.
New Patient Package
Please fill out this form and bring them into the office when you come for your appointment.
 Click to download
Established Patient Update
Update your Information (Name, Address or Phone Number) by completing this form. Bring it into the office or fax it to (858) 435-0207.
Click to download
HIPAA Form
Update your Health Information Privacy Information by completing this form. Bring it into the office or fax it to (858) 435-0207.
Click to download
Request for Release of Protected Health Information from other providers to Arthritis Care and Research Center
Please fill out this form and give it to your health care providers. They will send your records to Arthritis Care and Research Center.
Click to download
Request for Release of Protected Health Information from Arthritis Care and Research Center to other providers
Please fill out this form and bring it into the office or fax it to (858) 435-0207. We will have your requested records copied and mailed per your instructions.
Click to download
Patient Acceptance of Financial Responsibility
Please fill out this form and bring them into the office when you come for your appointment.
Click to download
You will need the Adobe Reader to view and print these documents. |
Location & Hours
Patient Forms 
Patient Testimonials
