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Gaslamp Medical Center
250 Market Street
San Diego, CA 92101
619-239-9675 or 619-236-0111
Fax: 619-515-1136
Monday – Friday: 8 a.m. – 6 p.m.

FREE Parking For Patients


Registration Forms

For your convenience, we’ve included our patient forms as well as information about advance directives. Please feel free to contact us if you have any questions.

Registration Form

Medical History ( Registration Form)
Advance Directives (English)

Advance Directives (Spanish)

Authorization to Release Health Care Information

Medical Authorization for Minors

DL51 Form - DMV Commercial Drivers Immigration Forms

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