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For Patients
Patient Forms
Please be sure to download the appropriate forms prior to visiting a UHA medical group. You may download the following PDF files and open them using the free online program, Adobe Acrobat Reader. Download the latest version of Acrobat Reader.
- New Patient Registration Form (PDF) - Español
- HIPAA Acknowledgement Form (Please read before your first appointment) - Español
- Notice of Privacy Practice (Please read before your first appointment) - Español
- Terms & Conditions of Service (Please read before your first appointment) - Español
- Financial Assistance Application (Complete if needed) - Español
- Authorization for Use or Disclosure of Protected Health Information - Español
PATIENT PORTAL
Legal Disclaimer
University HealthCare Alliance ("UHA") operates the Valley Medical Oncology Consultants practice. UHA is a medical foundation affiliated with Stanford Health Care and Stanford Medicine. UHA contracts with University Medical Partners to provide the medical care in the practice. Neither UHA, Stanford Health Care, nor Stanford University employ the physicians in the practice and do not exercise control over the professional services provided by University Medical Partners.