top of page

ATHENA MEDICAL GROUP

Dedication - Compassion - Experience

(831) 900-5777

335 Katherine Ave. Salinas, CA 93901

FORMS

PATIENT REGISTRATION

HEALTH QUESTIONNAIRE

PEDIATRIC HEALTH HISTORY

CONSENT TO MEDICAL TREATMENT OF MINOR PROCEDURES

AUTHORIZATION TO DISCLOSE INFO

CONSENT TO DISCLOSE INFO TO DESIGNATED REPRESENTATIVE

GENERAL CONSENT FOR GENERAL MEDICAL TREATMENT

CONSENT FOR RELEASE OF BILLING INFO

GYNECOLOGICAL
CANCER BOOKLET
ENGLISH
SPANISH
INFORMED CONSENT
ENGLISH
SPANISH

bottom of page