California Hernia Specialists

Speciality Care For Hernia Repair

California Hernia Specialists Consultation Forms

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As with all doctors offices, we request a brief medical overview before your hernia consultation. We also need your demographics to allow us to enter you into our system to make an appointment.

The first step is to download this fillable .pdf, complete it, and email it to our office. This will allow us to schedule your appointment. If you have trouble with this form, you can always fax the completed form, or call our office to give your information over the phone.

California Hernia Specialists Intake Form To help speed up the process at your check-in, we ask that you download, print, and complete these two forms. If possible, you can email or fax them to our office before your appointment. Or, you can bring the forms with you at the time of your consult at California Hernia Specialists.

Click both forms below to view then download your copy.

Medical Questionaire
Medical History
Listen to our past patients discuss their hernia consultation experience with Dr. Harris
ASC Outside
Clinic Waiting

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