Patient Forms & Paperwork
We strive to make your first visit as smooth and efficient as possible. To help us provide you with the best care, please complete the necessary forms before your appointment.
Below, you’ll find the essential documents you may need before the appointment.
Patient Registration Information
This form collects your basic information, insurance details, and contact preferences.
Medical History Questionnaire
Your medical history helps our team understand your current health and past treatments.
Request for Release of Medical Record Information
If you are transferring care from another provider or need to share records with our specialists for a second opinion consultation, this form authorizes the release of your medical records.
Tips for Completing Forms
- Fill out all sections completely and accurately.
- Bring completed forms to your appointment.
- If you have any questions while filling out the forms, please call us at 310-552-9999. Our staff is happy to assist.
Completing your paperwork ahead of time allows our care team to focus on what matters most, your treatment and well-being.


