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  • Home
  • Our Practice
    • About Us
    • Capital Nephrology Surgery Center
    • Testimonials & Reviews
  • Get Care
  • Your Team
  • Locations
  • Bill Pay
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+ 1 541-754-3010

Online Forms

Request Appointment >
+ 1 541-754-3010

Online Forms

Here are some important forms you to review and complete prior to your appointment with one of our physicians or provider.

  • Screening Checklist for Visitors
  • New Patient Enrollment Form
  • Medical History Form
  • Online Doctor Appointment Form
  • Psychiatric Evaluation Form
  • Quick Emergency Contact Form
  • Blood Donation Form
  • HIPAA Privacy Restriction Questionnaire
  • Medical Release Form

We are a family centered practice that incorporates compassion and dedication to promote your well being.

916-929-8564

Patient Care >

  • Choosing a Treatment for Kidney Failure
  • Chronic Kidney Disease / CKD
  • Dialysis
  • IgA Nephropathy
  • Polycystic Kidney Disease
  • High Blood Pressure / Hypertension
  • Choosing a Treatment for Kidney Failure
  • Chronic Kidney Disease / CKD
  • Dialysis
  • IgA Nephropathy
  • Polycystic Kidney Disease
  • High Blood Pressure / Hypertension

Our Practice >

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  • Capital Nephrology Surgery Center
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  • Testimonials & Reviews
  • Your Rights and Protections Against Surprise Medical Bills
  • Notice of Privacy Practices
  • Privacy Policy
  • Covid-19
  • Open Payments
  • Our Practice
  • Providers
  • Capital Nephrology Surgery Center
  • Contact & Location
  • Testimonials & Reviews
  • Your Rights and Protections Against Surprise Medical Bills
  • Notice of Privacy Practices
  • Privacy Policy
  • Covid-19
  • Open Payments

Kidney Resources >

  • American Association of Kidney Patients (AAKP)
  • American Kidney Fund
  • Life Options
  • National Kidney Foundation (NKF)
  • National Institute of Diabetes and Digestive and Kidney Diseases
  • National Kidney Foundation (NKF) Living Donor
  • Polycystic Kidney Disease Foundation (PKD)
  • Transplant Living

© 2022 Capital Nephrology Medical Group

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