DOCUMENTS

Please complete and print ALL the following documents and then bring them in with you to the office. Please bring the completed and signed forms to your appointment.

REGISTRATION FORM
This form is general information that is required to register with us. Please fill out all of the information in the document. You can open this file and print it and then after filling it out, bring it to our office on your initial visit. Or alternatively, you can open it, fill it out digitally and then print out a copy to bring in. If you would like to save this document to fill out later, you can either open it and save it or you can right click on the link to the left and choose the option: Save as ...
MEDICAL HISTORY FORM
This document tells us about your medical history, as well as any conditions you may be currently experiencing. Please fill out all of the information in the document. You can open this file and print it and then after filling it out, bring it to our office on your initial visit. Or alternatively, you can open it, fill it out digitally and then print out a copy to bring in. If you would like to save this document to fill out later, you can either open it and save it or you can right click on the link to the left and choose the option: Save as ...
OFFICE POLICIES FORM
We require that you know about our office policies before setting up an appointment. Please fill out all of the information in the document. You can open this file and print it and then after filling it out, bring it to our office on your initial visit. Or alternatively, you can open it, fill it out digitally and then print out a copy to bring in. If you would like to save this document to fill out later, you can either open it and save it or you can right click on the link to the left and choose the option: Save as ...

@2018 by Steven K. Sterzer MD powered by pr.business

VISIT US

24 Hanover Ln.

Chico, CA 95973

Call and schedule a consultation today!

530-895-0428

  • Wix Twitter page