Consultation Information and Forms

Make an appointment by calling 805.499-7971 (Monday through Friday, 9am-12pm and 1-5pm)

Bring medications if you are not sure about listing them completely in the medical questionnaire (including herbal supplements)

Bring copies of any pertinent medical reports such as mammograms, ultrasounds, and CT scans that are important to this visit (ask when scheduling the appointment)

Bring insurance and identification information such as your primary and secondary insurance cards, driver’s license, social security number, and name & address of an emergency contact  

Fill out the medical questionnaire (click the printer icon below, print out form and bring to your first visit)  
Medical_questionnaire Medical_questionnaire

Print out instructions on how to get to the office (click the printer icon below, print out form, and bring to your first visit)  



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