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EASY AS 1,2,3!

1) Click on form to download and print

2) Bring your completed patient packet with your current* insurance card and a form of photo ID to the office

3)  call 805-934-2488 x100 to schedule your appointment! (Please note that we are unable to schedule any appointments until the required paperwork and id is received)

CURRENT PATIENT
Annual Form:
DAWES FAMILY
MEDICINE
Privacy Policy:
NEW PATIENT
Male:
NEW PATIENT
Female:
ACO
beneficiary
notice

(805) 934-2488

For Life-Threatening Emergencies dial 9-1-1

© 2001-2023 Dawes Family Medicine - A Medical Corporation

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