Sharp Rees-Stealy patient forms

These PDF forms are available for you to fill out ahead of your doctor's appointment. Please follow the instructions on each form for filling in the information and for returning the form to your doctor.

• Advance Health Care Directive

• Advance Health Care Directive (Spanish)

• Allergy and Medications Form

• Allergy and Medications Form (Spanish)

• Anxiety Questionnaire

• Authorization to Release Medical Records to Sharp Rees-Stealy

• Depression Questionnaire

• New Patient & Wellness Confidential Questionnaire (Spanish)

• Orthognathic Surgery Prior Authorization Form

• Patient Questionnaire

• Sharp Rees-Stealy Conditions of Registration

• Sharp Rees-Stealy Conditions of Registration (Spanish)

• Visit Form

Print and complete our Health Risk Assessment. If you have concerns or would like a member of our team to contact you, mail the completed form along with your contact information to:

Health Risk Assessment
Sharp Rees-Stealy Department of Population Health
5651 Copley Drive
San Diego, CA 92111