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PATIENT FORMS

Which Location Are You Visiting?

New patients are welcome. All new patients are asked to complete the medical history and patient registration forms and must present their insurance card(s) upon their first visit with our office. It is also the patient’s responsibility to bring their referral or authorization, if required, with them to our office.

We ask that all new patients arrive at a minimum of 20 minutes prior to their scheduled appointment in order to complete the registration process. Patients who have already completed the registration forms (by accessing them through our web site or by picking them up at our office) need only arrive 10 minutes prior to their scheduled appointment time.

It is advisable for new patients to bring the most recent labs, imaging studies (actual images on a CD or a hard film along with the Radiologist report if available), list of medications and any relevant medical records to their first appointment.

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SANTA MONICA

If you are visiting our Santa Monica location, please click this button

PATIENT FORM
CEDARS SINAI

If you are visiting our Cedars Sinai location, please click this button

PATIENT FORM
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MARINA DEL REY

If you are visiting our Marina Del Ray location, please click this button

PATIENT FORM
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NON-INVASIVE ADVANCED TREATMENT

BOARD CERTIFIED
FOOT & ANKLE
SPECIALISTS

  • Comprehensive Treatment of Foot & Ankle Conditions in the Pediatric, Adult & Geriatric population
  • 3 Practice Locations Santa Monica Medical Plaza, Cedars Sinai Medical Towers, & UCLA Health in Marina Del Rey
  • On Staff with Providence Saint Johns Health Center &Cedars Sinai Medical Center

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