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  • About
    • Atiga Family Practice
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      • Murrieta
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        • Hypertension Packet
        • Low Sodium Foods
        • Low Sodium Tips
      • Osteoarthritis
      • Sexually Transmitted Disease
      • Thyroid Education
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        • Adult Vaccines
        • Immunization Info Packet
        • Immunization Screenings / Exemptions Forms
        • Immunization Vouchers
      • IEHP Health Advantages
      • Molina staying healthy
  • Primary Care
  • Laser Services
    • Laser hair
    • Wrinkles, lines and scars
    • Pigmentation, brown spots, uneven tone
  • Telemedicine
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    • Herbal Nutrition
      • Boost your immunity
      • Respiratory building
      • Longevity and QI
      • Cleansing- Think liver
      • Digestion
      • Circulation
      • Hormones
      • Focus and peace of mind
      • sleep and relaxation
      • Bone and joints
    • Nutrition for the Active Lifestyle
      • Pre-workout
      • Performance, endurance and recovery
      • Weight management
    • Skin care and nutrition
      • Skin care
        • Healty aging
        • Daily skin care
        • Men’s skin care
        • Cleansing
        • Hair care
        • Body care
          • Sunscreen
          • Skin hydration
          • specialty treatments
      • Beauty supplements
      • Oral care
    • Product packages and gifts
    • Cleaning products
    • Ordering
      • Application for account setup
  • Contact
    • Accessibility statement
Menu
  • Welcome
  • About
    • Atiga Family Practice
    • Our providers
    • Our Team
    • Our Facilities
      • Murrieta
      • Menifee
    • Our Office Policies
    • Hours and After Hours Care
      • Urgent Care List
    • Health insurances
  • Patients
    • Patient portal
    • Pre-Check-in
    • New patient info
    • Patient Forms
    • Medical Records
    • Resources / Health Maintenance
      • Dementia and Memory Care
      • Diabetic care
        • Insulin information
      • Diet types
      • Eating Healthy / Physical Activity
      • Fall Prevention Exercies
      • GERD
      • Housing Assistance
      • Hypertension
        • Hypertension Packet
        • Low Sodium Foods
        • Low Sodium Tips
      • Osteoarthritis
      • Sexually Transmitted Disease
      • Thyroid Education
      • Vaccines
        • Adult Vaccines
        • Immunization Info Packet
        • Immunization Screenings / Exemptions Forms
        • Immunization Vouchers
      • IEHP Health Advantages
      • Molina staying healthy
  • Primary Care
  • Laser Services
    • Laser hair
    • Wrinkles, lines and scars
    • Pigmentation, brown spots, uneven tone
  • Telemedicine
  • Sunrider foods
    • Herbal Nutrition
      • Boost your immunity
      • Respiratory building
      • Longevity and QI
      • Cleansing- Think liver
      • Digestion
      • Circulation
      • Hormones
      • Focus and peace of mind
      • sleep and relaxation
      • Bone and joints
    • Nutrition for the Active Lifestyle
      • Pre-workout
      • Performance, endurance and recovery
      • Weight management
    • Skin care and nutrition
      • Skin care
        • Healty aging
        • Daily skin care
        • Men’s skin care
        • Cleansing
        • Hair care
        • Body care
          • Sunscreen
          • Skin hydration
          • specialty treatments
      • Beauty supplements
      • Oral care
    • Product packages and gifts
    • Cleaning products
    • Ordering
      • Application for account setup
  • Contact
    • Accessibility statement
  • Welcome
  • About
    • Atiga Family Practice
    • Our providers
    • Our Team
    • Our Facilities
      • Murrieta
      • Menifee
    • Our Office Policies
    • Hours and After Hours Care
      • Urgent Care List
    • Health insurances
  • Patients
    • Patient portal
    • Pre-Check-in
    • New patient info
    • Patient Forms
    • Medical Records
    • Resources / Health Maintenance
      • Dementia and Memory Care
      • Diabetic care
        • Insulin information
      • Diet types
      • Eating Healthy / Physical Activity
      • Fall Prevention Exercies
      • GERD
      • Housing Assistance
      • Hypertension
        • Hypertension Packet
        • Low Sodium Foods
        • Low Sodium Tips
      • Osteoarthritis
      • Sexually Transmitted Disease
      • Thyroid Education
      • Vaccines
        • Adult Vaccines
        • Immunization Info Packet
        • Immunization Screenings / Exemptions Forms
        • Immunization Vouchers
      • IEHP Health Advantages
      • Molina staying healthy
  • Primary Care
  • Laser Services
    • Laser hair
    • Wrinkles, lines and scars
    • Pigmentation, brown spots, uneven tone
  • Telemedicine
  • Sunrider foods
    • Herbal Nutrition
      • Boost your immunity
      • Respiratory building
      • Longevity and QI
      • Cleansing- Think liver
      • Digestion
      • Circulation
      • Hormones
      • Focus and peace of mind
      • sleep and relaxation
      • Bone and joints
    • Nutrition for the Active Lifestyle
      • Pre-workout
      • Performance, endurance and recovery
      • Weight management
    • Skin care and nutrition
      • Skin care
        • Healty aging
        • Daily skin care
        • Men’s skin care
        • Cleansing
        • Hair care
        • Body care
          • Sunscreen
          • Skin hydration
          • specialty treatments
      • Beauty supplements
      • Oral care
    • Product packages and gifts
    • Cleaning products
    • Ordering
      • Application for account setup
  • Contact
    • Accessibility statement
Menu
  • Welcome
  • About
    • Atiga Family Practice
    • Our providers
    • Our Team
    • Our Facilities
      • Murrieta
      • Menifee
    • Our Office Policies
    • Hours and After Hours Care
      • Urgent Care List
    • Health insurances
  • Patients
    • Patient portal
    • Pre-Check-in
    • New patient info
    • Patient Forms
    • Medical Records
    • Resources / Health Maintenance
      • Dementia and Memory Care
      • Diabetic care
        • Insulin information
      • Diet types
      • Eating Healthy / Physical Activity
      • Fall Prevention Exercies
      • GERD
      • Housing Assistance
      • Hypertension
        • Hypertension Packet
        • Low Sodium Foods
        • Low Sodium Tips
      • Osteoarthritis
      • Sexually Transmitted Disease
      • Thyroid Education
      • Vaccines
        • Adult Vaccines
        • Immunization Info Packet
        • Immunization Screenings / Exemptions Forms
        • Immunization Vouchers
      • IEHP Health Advantages
      • Molina staying healthy
  • Primary Care
  • Laser Services
    • Laser hair
    • Wrinkles, lines and scars
    • Pigmentation, brown spots, uneven tone
  • Telemedicine
  • Sunrider foods
    • Herbal Nutrition
      • Boost your immunity
      • Respiratory building
      • Longevity and QI
      • Cleansing- Think liver
      • Digestion
      • Circulation
      • Hormones
      • Focus and peace of mind
      • sleep and relaxation
      • Bone and joints
    • Nutrition for the Active Lifestyle
      • Pre-workout
      • Performance, endurance and recovery
      • Weight management
    • Skin care and nutrition
      • Skin care
        • Healty aging
        • Daily skin care
        • Men’s skin care
        • Cleansing
        • Hair care
        • Body care
          • Sunscreen
          • Skin hydration
          • specialty treatments
      • Beauty supplements
      • Oral care
    • Product packages and gifts
    • Cleaning products
    • Ordering
      • Application for account setup
  • Contact
    • Accessibility statement

Immunization Forms


IMMUNIZATION EXEMPTION REQUEST INSTRUCTIONS

IMMUNIZATION EXEMPTION REQUEST INSTRUCTIONS – SPANISH

IMMUNIZATION SCREENING FOR CONTRAINDICATIONS CHECKLIST

IMMUNIZATION SCREENING FOR CONTRAINDICATIONS CHECKLIST- SPANISH

 

“For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here: https://openpaymentsdata.cms.gov/. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.”
“For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here: https://openpaymentsdata.cms.gov/. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public.”

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Main Location

25405 Hancock Ave, Ste 105
Murrieta, CA 92562
  • Murrieta: 951-695-4688
  • Menifee: 951-381-8150

Telemedicine Video Hours

Welcome to Atiga Family Practice for Health and Aesthetics
Monday – Friday

Weekend Appointments Available

Please Call Our Office for Appointments

Office Hours

Monday – Thursday: 8am To 5pm

Friday: 8am To 2pm

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