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Alliance Medical Group
We are a multi-ethnic group of providers that collaborate to provide you with a higher level of care. We also have Stanford faculty physicians who practice on-site, saving you a trip to Palo Alto.
In fact, we partner with Stanford Health Care to give you the best health care possible: individualized and convenient with access to Stanford specialists and technology. At Stanford Health Care your health needs will be coordinated through MyHealth, our easy to use online tool. MyHealth will help you to manage your health care appointments, access your confidential medical records, and more.
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Locations
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.
- 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 - Chinese
- Authorization for Use or Disclosure of Protected Health Information - Español
- Explanation About Billing Charges for Your Preventive Visit - Español
- Annual Medicare Wellness Visit Information - Español
- Medicare Health Risk Assessment
- Behavioral Standards
- Financial Assistance Application (Complete if needed) - Español
- Notice of Nondiscrimination
- New Patient Health Questionnaire (PDF)
- Request for Medical Records (incoming records)
Legal Disclaimer
University HealthCare Alliance ("UHA") operates the Alliance Medical Group 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.
To request an appointment, call:
Alliance Medical Group in Pinole
510-724-9110
Alliance Medical Group in San Pablo
510-237-2802