Skip to Content

HeritageHeritage

Main Navigation

  • Find a Doctor
  • Services
  • Locations
  • Events
  • Resources
  • Adult Primary Care Doctors
  • Emergency Medicine Doctors
  • Family Doctors
  • General Practice Doctors
  • Infectious Disease Doctors
  • Optometry Doctors
  • Pediatric Doctors
  • Urgent Care Doctors
  • All Doctors
  • Cancer Screenings
  • Health Education
  • Imaging
  • Lab Services
  • Pediatrics
  • Prolotherapy
  • Senior Activities
  • Urgent Care
  • Wellness Clinic
  • All Services
  • Health Resources
  • Insurance Accepted
  • Language Assistance
  • Medical Records
  • Medicare
  • Patient Forms
  • Patient Rights & Responsibilities
  • Provider Resources
  • Quality Improvement
  • (800) 655-9999
  • Contact
  • About
  • Careers

Search Heritage Victor Valley Medical Group

  • Find a Doctor
  • Services
  • Locations
  • Events
  • Resources

I want to...

  • Pay a Bill
  • Get Financial Assistance
  • Request Medical Records
  • Find a Job

You are here:

Home > Resources > Patient Forms

Patient Forms

Please print and fill out all applicable forms and present them to the front desk when you arrive for your first office visit.

Patient Forms

  • New Adult Patient Registration
  • New Child Patient Registration
  • 2025 Medical Release Form-Incoming
  • 2025 Medical Release Form-Incoming Spanish
  • 2025Medical Release Form-Outgoing
  • 2025 Medical Release Form-Outgoing Spanish

Member Documents

  • 2025 Advanced Health Care Directive (English)
  • 2025 Advanced Health Care Directive (Spanish)
  • Online Grievance Form
  • Notice of Privacy Practice
  • 2025 Language Assistance
  • 2025 SMS Consent Form
  • Clinical Guidelines
  • Compliance
  • Cookie Policy
  • Terms & Conditions
  • Website Privacy
  • Visit Heritage Victor Valley Medical Group on Facebook
  • Visit Heritage Victor Valley Medical Group on Instagram

Heritage Victor Valley Medical Group
12370 Hesperia Rd Suite 6
Victorville, CA 92395
(760) 245-4747

© 2025 Heritage Victor Valley Medical Group. All rights reserved.