Registration | Ajaipal S. Gill M.D.

Patient Registration Packet

Download the documents needed for a new patient here, print and fill out, and then bring them into the office in person. Please note the cancellation policy (available for download below), included within the patient registration packet.

Patient Referral Form

Patient Contact Authorization

This document grants the office staff permission to call your personal number regarding appointments and/or lab work, and authorizes us to give your personal health care information to family members in an emergency (see document for more details).

Notice of Privacy Practices Patient Acknowledgement (see document for more details).

Sleep Study Registration Packet

This document is for patients undergoing a sleep study only. It contains the patient registration and an information sheet (see document for more details).

Ajaipal S. Gill M.D., Inc.

530-749-9270

Patient Registration Packet

Patient Referral Form