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This document is a registration form for a one-day clinic event organized by UC San Diego, requesting personal and contact information from participants.
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How to fill out UC SAN DIEGO ONE­DAY CLINIC REGISTRATION FORM

01
Obtain the UC San Diego One-Day Clinic Registration Form from the clinic's website or front desk.
02
Fill in personal information, including your full name, date of birth, and contact details.
03
Indicate your reason for visiting the clinic in the provided section.
04
Complete the health history section, disclosing any relevant medical information.
05
Provide insurance details, if applicable, or indicate if you will be paying out of pocket.
06
Review the form for accuracy and completeness before submission.
07
Submit the form either online if available or hand it in at the clinic's registration desk.

Who needs UC SAN DIEGO ONE­DAY CLINIC REGISTRATION FORM?

01
Individuals seeking medical services at the UC San Diego One-Day Clinic.
02
Patients needing to register for a same-day appointment or walk-in clinic services.
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People Also Ask about

How do I begin my care with UC San Diego Health? Call 800-926-8273. One of our team members will be happy to answer any questions and help you register as a patient, choose a primary care provider and set up your first appointment.
Contact Us Call UC San Diego Health 858-657-7000. Make an Appointment 800-926-8273. Call a Hospital Patient 858-657-7000.
How do I begin my care with UC San Diego Health? Call 800-926-8273. One of our team members will be happy to answer any questions and help you register as a patient, choose a primary care provider and set up your first appointment.
UC San Diego Health has once again secured the No. 1 ranking in San Diego, according to the 2025-2026 U.S. News & World Report "Best Hospitals" survey alongside top national rankings for nine specialties.
Schedule Online Go to MyUCSDChart on your computer, phone or tablet to schedule or change appointments with a primary care provider () you've seen before or set up a video visit with a .
Paying for Express Care Video Visits Cash pay, or self-pay price of $49 (pay by credit or debit card)
Who Can Use Express Care? Patients ages 6 months and older can get excellent care from our experienced nurse practitioners and physician assistants without a referral.
Can I use Medi-Cal to pay for services at the UC San Diego Student Health Center? All eligible registered students may receive services at UC San Diego Student Health Services (UCSD SHS). However, you will be charged for services and UCSD SHS will not bill Medi-Cal.

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The UC San Diego One-Day Clinic Registration Form is a document used to register individuals for services at a one-day clinic organized by UC San Diego.
Individuals who wish to receive medical services at the UC San Diego One-Day Clinic are required to file the registration form.
To fill out the UC San Diego One-Day Clinic Registration Form, individuals need to provide personal information, including their name, contact details, and any relevant medical history, as required on the form.
The purpose of the UC San Diego One-Day Clinic Registration Form is to collect essential information for scheduling appointments and ensuring proper care at the clinic.
The information that must be reported includes the individual's name, date of birth, contact information, any insurance details, and pertinent medical history.
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