By clicking below, you can view and print out the Personal Health History (or Herstory for women) that I have used in my medical practice for over 20 years. It includes a standard medical review plus lifestyle questions and habits, as well as stress and emotional questions. It helps me more easily assess the general health status of my patients. Yet, even if you are not coming to the Preventive Medical Center of Marin, this will help you to take a good look at your health, and may even motivate you to make some improvements. Healthy regards from Dr. Elson Haas.

If you are going to be making an appointment with PMCM for the first time, please print and fill out (where applicable) the forms below and bring them in with you.