Patient Health History Form

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Boulder City East Las Vegas Horizon Ridge Pahrump West Sahara Warm Springs Water Street 
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Boulder City
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Boulder City Hours

  • Monday
  • 8:00am - 5:00pm
  • Tuesday
  • 8:00am - 5:00pm
  • Wednesday
  • 8:00am - 5:00pm
  • Thursday
  • 8:00am - 5:00pm
  • Friday
  • 8:00am - 5:00pm
  • Saturday
  • Closed
  • Sunday
  • Closed
Closed daily from 12:00 pm to 1:00 pm.
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East Las Vegas
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East Las Vegas Hours

  • Monday
  • 8:00am - 5:00pm
  • Tuesday
  • 8:00am - 5:00pm
  • Wednesday
  • 8:00am - 5:00pm
  • Thursday
  • 8:00am - 5:00pm
  • Friday
  • 8:00am - 5:00pm
  • Saturday
  • Closed
  • Sunday
  • Closed
Closed daily from 12:00 pm to 1:00 pm.
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Horizon Ridge
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Horizon Ridge Hours

  • Monday
  • 8:00am - 5:00pm
  • Tuesday
  • 8:00am - 5:00pm
  • Wednesday
  • 8:00am - 5:00pm
  • Thursday
  • 8:00am - 5:00pm
  • Friday
  • 8:00am - 5:00pm
  • Saturday
  • Closed
  • Sunday
  • Closed
Closed daily from 12:00 pm to 1:00 pm.
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Pahrump
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Pahrump Hours

  • Monday
  • 9:00am - 4:30pm
  • Tuesday
  • 9:00am - 4:30pm
  • Wednesday
  • 9:00am - 4:30pm
  • Thursday
  • 9:00am - 4:30pm
  • Friday
  • 9:00am - 4:30pm
  • Saturday
  • Closed
  • Sunday
  • Closed
Closed daily from 12:30 pm to 1:30 pm.
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West Sahara
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West Sahara Hours

  • Monday
  • 8:00am - 5:00pm
  • Tuesday
  • 8:00am - 5:00pm
  • Wednesday
  • 8:30am - 5:00pm
  • Thursday
  • 8:00am - 5:00pm
  • Friday
  • 8:00am - 5:00pm
  • Saturday
  • 8:00am - 2:00pm
  • Sunday
  • Closed
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Summerlin
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Summerlin Hours

  • Monday
  • 8:00am - 5:00pm
  • Tuesday
  • 8:00am - 5:00pm
  • Wednesday
  • 8:00am - 5:00pm
  • Thursday
  • 8:00am - 5:00pm
  • Friday
  • 8:00am - 5:00pm
  • Saturday
  • Closed
  • Sunday
  • Closed
Closed daily from 12:00 pm to 1:00 pm.
Warm Springs
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Warm Springs Hours

  • Monday
  • 8:00am - 5:00pm
  • Tuesday
  • 8:00am - 5:00pm
  • Wednesday
  • 8:00am - 5:00pm
  • Thursday
  • 8:00am - 5:00pm
  • Friday
  • 8:00am - 5:00pm
  • Saturday
  • Closed
  • Sunday
  • Closed
Closed daily from 12:00 pm to 1:00 pm.
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Water Street
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Water Street Hours

  • Monday
  • 8:00am - 5:00pm
  • Tuesday
  • 8:00am - 5:00pm
  • Wednesday
  • 8:00am - 5:00pm
  • Thursday
  • 8:00am - 5:00pm
  • Friday
  • 8:00am - 5:00pm
  • Saturday
  • Closed
  • Sunday
  • Closed
Closed daily from 12:00 pm to 1:00 pm.
Request an Appointment 
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Patient FormsScroll for More

Patient Health History (English) (Online)Patient Health History (English) (PDF)Patient Health History (Spanish) (Online)Patient Health History (Spanish) (PDF)Non-Discriminatory Practice Policy (PDF) (PDF)