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Patient Forms

 

Patient Handbook


Patient Rights and Responsibilities


Notice of Private Practices


Patient Registration Form


Health History Form


Pediatric Dental History Form


Failed Appointment Agreement Form


Advanced Directive


Behavioral Health Consent for Treatment


Dental Lab Fee Policy


Release of Information


Health Information Request Fee Schedule


Grievance Form


Patient services
  • Patient Services
  • Medical Services
  • Health Information Management
  • Dental Services
  • Pharmacy Services
  • Behavioral Health Services
  • Healthy Traditions
  • Nutritional Services
  • Manchester Point Arena Satellite Clinic
  • Environmental Health and Safety

SCIHP Events

View full calendar

Vaccine Distribution

Fatherhood & Motherhood

Family Gona 2021

Adult Talking Circle

Youth Cultural Wellness

Virtual Tutoring

Sonoma County Public Health

Cultural Wellness for Youth

Community Resource Phone Numbers

Curbside Pharmacy

Behavioral Health Services

Social Distancing

Differences Flu and Covid-19

All Events Cancelled

Coronavirus

Infection Control

 

SCIHP - Santa Rosa: Main Clinic
144 Stony Point Road
Santa Rosa, CA  95401
Main Number:  707-521-4545
Hours of Operation
SCIHP - Manchester/Point Arena: Satellite Clinic

10A Mamie Laiwa Rd. Point Arena, CA 95468
Main number: 707-882-2877

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