AVORS is pleased to make it easy for patients by providing health-related packets, forms, agreements and notices, on-line. Just click on a link below to download (PDF) the forms. You can then print and fill them out in the privacy of your home at your own pace, and bring them with you completed for your appointment. Please print all forms on “white paper” only.
If you have any questions or need assistance, please call the receptionist at (661) 726-5005 ext. 100.
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
