Forms

Intake Forms

Welcome to Health First Medical Center. Dr. Hussain strives to ensure every patient is seen as close to their appointment time as possible, we respect our patients and their time. We understand there are many options for health care in Las Vegas and sincerely appreciate you choosing Health First Medical Center.


If you are a new patient, the intake forms are below for your review and completion prior to your scheduled appointment. Bringing the forms into our office complete will reduce your wait time to see Dr. Hussain.


We also have our Medical Records Release forms, Patient Update Forms, and Healthcare Privacy forms available below for your convenience.



New Patient Registration Form Patient Update Form Emergency Contact Form
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