Resources

Forms

Below are all forms used by the Medical Board of California. If you need assistance filling them out, contact our Consumer Information Unit at (916) 263-2382.

 Tips for Viewing and Using Fillable PDFs

Mandatory Reporting

• Adverse Event Reporting Form for Accredited Outpatient Surgery Settings
• Health Facility/Peer Review Reporting Form (805 Report)
• Health Facility Reporting Form - Proposed Action (805.01 Report)
• Health Facility Reporting Form (805.8 Report)
• Outpatient Surgery - Patient Death Reporting Form
• Patient Transfer Reporting Form
• Physician Reporting - Criminal Actions (802 Report)
• Report of Settlement, Judgment, or Arbitration Award (801 Report)
• Reporting Requirements for Coroners
• Reporting Requirements for Court Clerks