Patient Forms

Patient Medical Forms for Our Medical Care Services in Lancaster, CA or Valencia, CA

Avors Medical Group

To help make the medical care you receive from AVORS Medical Group easier and more efficient, here we've provide you with health-related packets, forms, agreements and notices. Click on the links below to download the .pdf forms. Then print and fill them out in the privacy of your home, and bring them with you completed to your appointment. Please print all forms on white colored paper only.


If you need assistance regarding patient forms, please call our receptionists in Lancaster (661) 726-5005 ext. 100 or Valencia (661) 705-5100.

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New Patient Packet

Patient Information, Insurance Information, Assignment & Release, Physician-Patient Arbitration Agreement, Payment Policy, Authorization to Release Medical Information, Notice of Privacy Practices Acknowledgement, Pain Management/Chiropractic Agreement, and Health History Questionnaire.
New Patient Packet

Work Physical

Patient Information, Pre-Participation Evaluation Medical History, and Work/DMV Physical Evaluation Results.

Work Physical Packet Notice of Privacy Practices Notice of Privacy Practices in Spanish

EDD State of California

For information regarding state disability insurance benefits, go to www.edd.ca.gov.

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Call us if you need assistance

Lancaster (661) 726-5005 ext. 100

Valencia (661) 705-5100

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