Patient Handouts

To save time on the day of your appointment, please fill out these forms and bring them with you:

• New Patient Registration Packet

• New Patient Registration Forms for Patients with Medicare
• Notice of Privacy Practices

If you need to have your medical records sent to or transferred to another office, physician, or insurance company please complete this form and either mail or fax into our office.

• Release of Medical Records

In order to view or print these forms you will need Adobe Acrobat Reader installed. Click here to download it: Get Adobe Reader

Our office participates with most health insurance plans which cover certain procedures. Covered procedures will vary with each insurance company — our office staff will assist you in determining eligibility. Please contact our office at (650) 692-0182 to find out if we accept your insurance. Patients are responsible for deductibles, co-payments and remaining balances