Please complete all of the following forms before your appointment. If you are unable to submit your paperwork in advance, please call our office and ask to speak to a receptionist for assistance.

-Click Below to View and Download Forms-

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• Patient History Forms

• Referral Form

• New Patient Policy

• HIPAA Medical Release Form

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In order for us to review your information in a timely manner, please mail or fax all of the above forms to our office so that we may receive them two days before your scheduled appointment:

530 Camino Mercado, Suite 536

Arroyo Grande, CA 93420

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Tel:  805-540-0279

Fax: 805-439-1070

What to bring to your appointment:
Insurance Card*
Driver’s License/Identification Card
Current Medication List

*Please note that if you are unable to provide your insurance card, you will be responsible to pay in full for the provided service.*