Patient Forms

Below you can find Patient Forms to be filled out prior to your scheduled appointment.

HIPPA Medical Information Release Form

Medication Summary Form

Patient Information Form

About Dr. Rush

Dr. Samuel Rush is an internist based in Clovis, California at the Clovis Community Medical Center in Fresno County, CA. He began his journey at the University of Illinois, where he earned his undergraduate degree in 1964. His love for education and his desire to help others led him to earn his medical degree at the University of Illinois Medical School the following year. From 1968 to 1969, he completed his internship at the Cook County Hospital in Chicago, Illinois. He decided he wanted a change of pace and scenery in 1969 when he relocated to the “Golden State.” He did a general medicine residency at the University Medical Center in Fresno, California in 1969 and 1970.

He’s not just a traditional doctor; he has a naval background that has given him the strength and ability to work in high-stress situations. As a medical officer and lieutenant commander, Dr. Rush gained valuable experience that can’t be matched in a traditional doctor’s office. After his naval career, Dr. Rush conducted another general medicine residency at the University Medical Center from 1972 until 1974. He possesses board certification in internal medicine. Additionally, he’s a fellow at the American Academy of Cardiology. He has assisted with a nursing program and acted as a consultant for the Fresno Police Department’s traffic division.

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Samuel Rush, MD

Dr. Samuel Rush is an internist based in Clovis, California at the Clovis Community Medical Center in Fresno County, CA. He began his journey at the University of Illinois, where he earned his undergraduate degree in 1964. His love for education and his desire to help others led him to earn his medical degree at the University of Illinois Medical School the following year. From 1968 to 1969, he completed his internship at the Cook County Hospital in Chicago, Illinois. He decided he wanted a change of pace and scenery in 1969 when he relocated to the “Golden State.” He did a general medicine residency at the University Medical Center in Fresno, California in 1969 and 1970.

He’s not just a traditional doctor; he has a naval background that has given him the strength and ability to work in high-stress situations. As a medical officer and lieutenant commander, Dr. Rush gained valuable experience that can’t be matched in a traditional doctor’s office. After his naval career, Dr. Rush conducted another general medicine residency at the University Medical Center from 1972 until 1974. He possesses board certification in internal medicine. Additionally, he’s a fellow at the American Academy of Cardiology. He has assisted with a nursing program and acted as a consultant for the Fresno Police Department’s traffic division.


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What we offer

Services

Our Wonderful Staff

Dr. Samuel Rush and his staff are here to provide quality service and attention to their patients. 

April is there to answer any questions patients might have before and after their visit.

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Meet Maureen

Maureen Stoney-Barrett has been licensed as a registered nurse in California since 1982.  Her experience is extensive and varied and includes several years in the emergency room and critical care and cardiac care units, both pre-operative and post-operative recovery units, pediatrics, and fifteen years as charge nurse and educator in the NICU (new born intensive care unit). 

Injection Specialist

  • Began medical career in pre- and post-operative recovery units. 
  • Thirty-five years in the medical profession.
  • Twenty years as in injection specialist.
  • Trained with, and TRAINED, some of the most respected physicians in the Bay Area and the Central Valley!
  • One of the Central Valley's most respected and sought after injection specialists.
Some of the services we offer:
  • Botox /Dysport 
  • Dermal Fillers
  • Permanent Makeup


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Insurances

Find a list of some of the insurances we accept. Please contact our offices if you have a question about your insurance or specific plan being covered by our practice. We don't accept the following insurance providers: Covered California Medi-cal First Choice Humana Primary

Aetna
Anthem
Blue Cross
Blue Cross Blue Shield
Cigna
Health Net
Medicare
United Healthcare
Location
Samuel Rush, MD
684 Medical Center Dr East, Suite 105
Clovis, CA 93611
Phone: 559-387-5622
Office Hours

Get in touch

559-387-5622