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Medical Forms

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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