Toggle navigation

4165 Blackhawk Plaza Circle Suite 100 & Suite 140 Danville, CA 94506(925) 736-7070
Walk-In Clinic Location
3424 Camino Tassajara Road Danville, CA 94506
(925) 309-2700

Phone Hours

We answer the phones in our main Danville location:

Mon-Thu 8:00 am - 4:30 pm
Fri 8:00 am - 4:00pm

Call us at (925) 736-7070

  • Home
  • Our Providers
  • Locations
  • Services
    • Family Medicine
    • Pediatrics
    • Physical Exams
    • Walk-in Clinic
    • Screening Tests
  • Reviews
  • Resources
    • News
  • Patient Page
    • New Patient Info
    • Patient Forms
    • Register MyJohnMuirHealth
    • Login to MyJohnMuirHealth
    • FAQs
  • Contact
    • Contact Info
    • Phone Tree
  • Appointment
  • News

Patient Forms

If you have questions or want to schedule your appointment, please call us at (925) 736-7070.

Important Information

  • New Patient Welcome Letter
  • Medicare Wellness Visits
  • Your Annual Physical

Patient Forms (Signature Required)

  • New Patient Forms Packet  (includes the forms below for your first visit)
  • Patient Registration
  • Patient Health History
  • Practice and Financial Agreement - 2020
  • Patient Confidentiality and Privacy Practices
  • Consent for Care of a Minor
  • Request to Obtain Medical Records
  • Medication Contract

Insurance and Billing 

  • Insurance Information 2020

Adobe Acrobat Reader DownloadIn order to view or print these forms, you will need Adobe Acrobat Reader installed.
Click here to download it.

  • Patient Forms
  • Patients
  • Immunizations

Patient Education

Patient Education Menu
  • Family Medicine Education Library
    • Acute Disease
    • Chronic Diseases
    • Immunizations
    • Mental Health
    • Pediatrics
    • Physical Exams
    • Preventive Care
    • Screening Tests
    • What is Family Medicine?
    • Women's Health
    • Walk-in Clinic
  • Pediatrics Education Library
    • Child Health Topics
    • Center for Disease Control and Prevention
    • Breast Feeding
    • Immunizations
    • Car Seat Recommendations
    • Product Recalls
    • Traveling with Children

Blackhawk Medical Group, 4165 Blackhawk Plaza Circle Suite 100, Danville CA, 94506 - (925) 736-7070
Walk-in Location, 3424 Camino Tassajara Road, Danville, CA 94506 - (925) 309-2700

  • Home
  • About Us
  • Offices
  • Services
  • Reviews
  • Resources
  • Patient Page
  • Contact
  • Schedule an Appointment

  • Copyright © MH Sub I, LLC dba Officite
  • Disclaimer
  • Patient Privacy
  • Site Map