Patient Forms

For your first appointment at our practice, you will be asked to provide information to introduce yourself to us and familiarize yourself with our office policies. Please fill out and submit the form below prior to your appointment.

If you prefer, you can also print out the form to complete it by hand and bring it with you to your visit. We look forward to seeing you in our office!

Ready to Get Started?


826 Altos Oak Drive Suite 3, Los Altos, CA 94024

  • MON - WED: 9:00 am - 5:00 pm
  • THU: 8:00 am - 4:00 pm
  • FRI: 9:00 am - 5:00 pm
  • PHONE: (650) 397-5691
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