Appointment Forms and DocumentsOsher Buiding

The Osher Center for Integrative Medicine offers all necessary patient forms online and a variety of patient related resources for your information and convenience.

New Patient Forms

There are three forms that we will ask you to complete before your first visit. Please bring them with you to your first appointment.

  • New Patient Intake Questionnaire: PDF or Word
  • UCSF Intake Form: PDF or Word
  • New Patient Registration Form: PDF or Word

Women’s Health chronic pelvic pain patients may also be asked to complete a Pelvic Pain Assessment Form.

For pediatric patients, there is just one intake form to complete and bring to your first visit:

  • Pediatric Intake Form: PDF or Word
Patient Relations

The Patient Relations Department provides services for you and your family to ensure that your experience at UCSF Medical Center is a good one. If you or your family have a question or concern about your stay, please contact Patient Relations.

UCSF Medical Records

UCSF Patient Services provides information on accessing your medical records.

Your Rights as a Patient

At UCSF we respect the confidentiality of our patients, colleagues and visitors. We recognize that each patient has unique healthcare needs and we encourage partnership between the patient and the healthcare team. We encourage patients or their legally designated representative to participate in discussions and decisions about their treatments, options, alternatives, risks, and benefits. Below are links to your rights as a patient, provided in English, Chinese, Russian and Spanish:

Privacy Practices

We are committed to protecting your medical information. For information about your rights and the obligations we have regarding the use and disclosure of your medical information, please see UCSF’s Patient Privacy Rights.

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