Patient Information

If you are visiting us for the first time, please fill out the New Patient Registration Form below and bring it for your first visit. If you are a provider referring a patient to Affiliated Physician Practice, please utilize the New Patient Referral Form below.

If you have any questions, you are always welcome to call us at (559) 673-9021 or contact us online.

New Patient Forms

• New Patient Referral Form
• New Patient Registration Form (English)
• New Patient Registration Form (Español)