During the first visit, we make sure to obtain important background information, like your medical history, and give you time to get to know your doctor. We accept most insurances.
All New Patient Paperwork can be completed either from our online intake form below:
Or by downloading our new patient forms below, filling them out, and bringing it to our office.
New Patient Forms – PDF Form For Printing (Complete All 4 Pages)
Additional Patient Forms
Please arrive early so that we can complete your initial paperwork. Also, please bring the following:
- Patient's insurance card
- List of current prescriptions and/or over-the-counter medication, including dose and frequency
- Information about patient's medical and surgical history
- Recent test results, x-rays, or relevant records
Insurance and Payment Information
You are responsible for co-payments or charges that are not covered by your insurance. If you have questions regarding billing or which insurance plans we accept, please call our office (805) 496-2383. Questions regarding insurance coverage and benefits should be directed to your employer or insurance company.