Print and fill out the desired form, then bring it with you to your next appointment.  You may also fax, mail, or email your completed forms to us if you have been instructed to do so.

Notice To Patients


Notice to Patients about Open Payments Database

The open Payments Database is a federal tool used to search payments made by drug and device companies to physicians and teaching hospitals. It can be found at

Medical Release


Medical Records Request and Release

Privacy Practices Notice


We participate in the California Immunization Registry. To find our more about what that can mean for you and your child, please click the link below.


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