Client Forms New Client Registration Form Are you a new client at UIHS? Please fill out this form, print it, and bring it to our front desk. Go>> Family Intake Screening Form If you are bringing a child or children to UIHS, please fill out this form and bring it to our front desk. Go>> Notice of Privacy Practices This notice describes how medical information about you may be used and disclosed and how you can access this information. Go>> Acknowledgment of Notice of Privacy Practices Please sign, print, and return this form to our office. Go>> Board of Directors Voter Registration Form This form is to register for voting in the election for the Board of Directors of UIHS. Go>> Client Feedback Form Please click here to submit a feedback form or call the Quality Improvement Department at (707) 296-2501. Go>>
