Important health care forms and questionnaires.
Advance Health Care Directive
Use this form to make your future health care wishes known, in the event you can't make them for yourself.
Allergies and Medications Form
If you have a Sharp Rees-Stealy appointment, use this form to notify your provider which prescription medications, supplements, herbs, vitamins and over-the-counter medications you are currently taking.
Authorization for Use or Disclosure of Protected Health Information
How to request your medical records.
Living Kidney Donor Intake Form
Use this form if you are interested in donating your kidney to a friend, family member or someone else in need of a kidney transplant.
Maternity Preadmission Form
If you are pregnant and delivering your baby at Sharp Mary Birch Hospital for Women & Newborns, Sharp Grossmont Hospital Women's Center or Sharp Chula Vista Medical Center, please fill out this form at your earliest convenience. This form is also available in Spanish.
Sharp Rees-Stealy Patient Forms
Sharp Rees-Stealy provides several PDF forms for you to fill out ahead of your doctor's appointment.
Vial of Life Form
Designed to speak for you when you can't speak for yourself, this form contains important medical information about you for use by emergency personnel. Keep the completed form on your refrigerator, in your car and at work.
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"I am dedicated to helping others and providing excellent care unique to each patient."
"The Sharp Experience means having a team behind you to help champion your health."
"The Sharp Experience plays an integral role in my decision to work here — I believe in the delivery of high quality healthcare with the goal of maximizing patient satisfaction."
"I provide service excellence, teaming with patients and family members and continuing to improve care overall."
"I provide respectful care and empower my patients to live healthy, happy lives."
"I am dedicated to providing complete, high quality and personalized medical care for my patients."
"My goal is to assist my patients in becoming the happiest and healthiest they can be."
"I want to help patients by listening and working together toward optimal health."