Magan Medical Clinic, Inc.
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Patient Resources

Please print and fill out the forms below that correspond with your appointment.

New Patient Packet (click to download)

This packet includes the following forms listed below:

  • Patient Registration (A108)
  • Race/Ethnicity (05032012)
  • Conditions of Services (A98)
  • Patient Responsibility Form
  • Verbal Communication with Family and Others Involved in Your Care (A114)
  • Advanced Healthcare Directive Status (A82b)

Advance Directives (click to download)

This packet includes the following forms listed below:

  • Advance health Care Directive Status (A82b)
  • Advance Health Care Directive Instructions (A82a)

Adult Medicine

Pediatric Medicine

Specialty Care

Obstetrics and Gynecology (OB/GYN)

Mammography

Patient Information Release Forms