250 W. Bonita Ave. Suite 150, Pomona, CA 91767

TEL: (909) 392 4747 | FAX: (909) 392 4767

TEL: (909) 392 4747 | FAX: (909) 392 4767

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  • About Dr. Isho
  • Appointments
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    • Home
    • About Dr. Isho
    • Appointments
    • Patient Forms
    • Photo Gallery
    • Contact Us
  • Home
  • About Dr. Isho
  • Appointments
  • Patient Forms
  • Photo Gallery
  • Contact Us

Dr. Lubna Isho

Dr. Lubna IshoDr. Lubna IshoDr. Lubna Isho

board certified in family medicine since 2001

board certified in family medicine since 2001board certified in family medicine since 2001

Patient forms

We understand that filling out paperwork takes time. Because you’re on a schedule, we eliminate the stress of pre-visit paperwork by providing downloadable patient forms online. Download and complete these forms prior to your first visit so we have a comprehensive understanding of who you are.

Downloads (English)

Please download, fill, and print for your upcoming appointment 

Registration-Packet (pdf)

Download

TB-QUESTIONNAIRE (pdf)

Download

POLST (pdf)

Download

Advance Directive CHA Form 3-1 0317 (pdf)

Download

Downloads (Spanish)

Please download, fill, and print for your upcoming appointment 

Registration-Packet (pdf)

Download

TB-QUESTIONNAIRE (pdf)

Download

POLST (pdf)

Download

Advance Directive CHA Form 3-1 0317 (pdf)

Download

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