The Reason We Live In the

Bay Area

Combined With

Reasons To Stay Healthy

Healthy Ideas Put Into Practice

ONLY FORMS FOR INITIAL VISIT AT THIS TIME

(Informational forms on health conditions to follow)


Please print then fill out the following forms at your leisure before you come to your 1st appointment and it will make your stay in our waiting room, though adorned with very interesting artwork, shorter so you can spend more time with your doctor. The 1st form "Patient info"like the name implies, is your general information packet including who you are, where you live, your medical history, etc... The 2nd is the "HIPPA"form giving you knowledge of your rights over your health information and allowing us to use it as you deem necessary. The 3rd link "Dear Patients" is for our general information and there is no part for you to fill out only use for informational purposes as guideline of our service to you.


1st

Patient Info Packet Word Doc.docx

Patient Info Packet in Spanish

2nd

HIPAA1 check in Word Doc.docx

3rd

Dear Patients Check in Doc Word.docx


ZocDoc can also load your information so that we can access it if that works better for you and you don't have to print the forms above.