Patient Forms



  • Medical Records Request Forms
  • California Advance Health Care Directive Forms
Medical Records Request Forms

Record Release – English

Record Release – Spanish

California Advance Health Care Directive Forms


Copyright by Mendocino Coast Clinics. All rights reserved. This Health Center receives HHS funding and has Federal PHS deemed status with respect to certain health or health-related claims, including medical malpractice claims, for itself and its covered individuals. This Health Center is a Health Center Program grantee under 42 U.S.C. 245b, and deemed a Public Health Service employee under 42 U.S.C. 233 (g)-(n). Any claim filed against MCC must be done in federal court.

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