- Patient Education
- Patient Portal
For your convenience, please download and complete the following forms prior to your appointment. After you download the form to your computer you will need to print the forms on your printer. Please complete the forms and bring them with you to your appointment. Alternatively, you can fax or mail the forms to our office
Fax: (530) 222-1219
Mail: Andre Van Mol, MD, 3580 Santa Rosa Way, Redding, CA 96003
Please call (530) 222-3225 if you have any questions.