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Here are some forms you may download and complete at your convenience.


Regular Forms

When Needed 

#1. Clinic Visit Registration Form

Every visit to AITC

#2  Medicare Status Declaration Form

Every visit to AITC

#3. Complete Medical History & Travel Itinerary Form

This is your first visit to AITC


It's been at least 1 year since your last visit to AITC


You are planning international travel 

#4. Interval Medical History Form

You have visited AITC within the past year, and you are not planning international travel

#5. Preauthorized Healthcare Payment Form

Blue Shield of California PPO Members planning international travel



Forms for Special Situations 
#6. Tuberculosis Testing


#7. Shingles Vaccine


#8. Authorization to Disclose Health Information





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