Health Medicine Center Registration Forms

HEALTH MEDICINE CENTER

REGISTRATION FORMS

You may download or print these documents and fill them out ahead of time to expedite the Health Medicine Center registration process in the comfort and convenience of your own home or office. Please read the Notice of Privacy Practices before signing the privacy notice agreement. You are welcome to keep a copy for your records.

To download and print the registration documents:

Click on the document image and the document will open to view, print and/or save the forms. To save these documents to your computer, select Save from the File menu, or click the Save icon from the toolbar.

Registration Forms for Dr. Saputo's Patients



Click here or on the the image above to download


Please contact us if you have any questions about filling these forms out.

For all other HMC practitioners, use the link below

Registration forms for all other HMC Practitioners



Click here or on the image above to download


Please contact us if you have any questions about filling these forms out

Registration forms require
Adobe Acrobat Reader

It's Free!!

HEALTH MEDICINE CENTER
1620 Riviera Avenue
Walnut Creek, CA  94596
Tel: (925) 935-7500
Fax: (925) 935-7770