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Patient Forms

New Patient Information

We're glad you have or are considering a Dignity Health Medical Group Nevada clinic doctor as your health care provider. DHMGN clinic doctors are dedicated to providing you with high quality, compassionate medical care tailored to your personal needs.

Save time by completing your Patient Information paperwork at home. Please fill out all the each form listed below and bring the completed paperwork to your appointment. 

Note: Forms are in English and Spanish.

Adult Form

Annual Screening Questionnaire

Consent to treat English/Spanish

Financial Consent English / Spanish

Health Assessment

Review of Symptoms

English Flu consent form

Spanish Flu consent form

Rights and Responsibilities English / Spanish