Privacy Notice
  New Patient Letter
  Record Release Form
New Patient
  Registration
  Referral Process at
  PrimeCare
  Consent to
  treat a minor
  Participating
  Insurance Companies


If you are a new patient, you can print out the registration form below. Once you have printed it, filled it out and signed it, please bring it to the front desk at the time of your appointment. If you are unable to print this form, you will receive a registration form for completion at the time of your appointment.

New Patient Registration English
New Patient Registration Spanish
New Patient Registration Packet Monterey
These forms can be viewed using Adobe Acrobat Reader. If you do not have Adobe Acrobat Reader, you can download it for free from Adobe's Web site.
  Office Information


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