Medical Forms/ Medical Records

Medical Forms/ Medical Records

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Listed here are some forms available online for Camino Medical Group patients. They are saved as Acrobat files to retain the format of the form.

Pediatric Family Health History Form

Family Medical History Form

Parent Request for Administration of Medication (School Form)

Authorization for Use and Disclosure of Diagnostic Medical Images and Reports

Transfer of Medical Records

Release of health information from Camino Medical Group to another facility -- use this form.

Release of health information to Camino Medical Group from another facility -- use this form.

Last reviewed: December 2007

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