New Patient Paperwork

Spectrum Health Center offers our patient form online so it can be completed in the convenience of your own home or office.

  • The form is a PDF file. You will need AdobeReader® to view it.
  • If you do not already have AdobeReader® installed on your computer,
    Click Here to download.
  • Download the necessary form, print it out and fill in the required information.
  • Bring the necessary form to your appointment.
  • New Patient Registration Form

    Click to Download

Monday
9:00am - 12:00pm
1:00pm - 5:00pm


Tuesday
9:00am - 12:00pm
1:00pm - 4:00pm


Wednesday
9:00am - 12:00pm
1:00pm - 5:00pm


Thursday
10:00am - 5:00pm


Friday
9:00am - 12:00pm
1:00pm - 5:00pm


Saturday & Sunday
Closed

Spectrum Health Center

2121 Curtner Ave
San Jose, CA 95124
P: (408) 369-1430
F: (408) 340-5726