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Patient Forms

Please take a moment to print each of the below PDF's,

 fill-out and brings to the first visit. 

IPH health history form 1

IPH Informed Consent for pf therapy 

IPH Office Policy 

IPH Patient Registration Form 

Notice of Privacy Practices 

© 2023 etamtechsystems.com

2205 Plaza Dr, Suite 250 , Rocklin , CA, 95765

: ‪Tel: ‪(916) 918-7611

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