Find patient forms, documents, questionnaires, and more.
Find patient forms, documents, questionnaires, and more.

Documents for new patients

To save time at your first visit, please complete the forms below at your convenience. This will allow us to get to know you better and ensure a smooth start to your care. If you have any questions, call +1 (415) 827-3832.

New Patient Questionaire

New Patient Questionaire

Credit Card Authentication

Credit Card Authentication

Demographics Document

Demographics Document

Controlled Substance Agreement

Controlled Substance Agreement

Medical Records Request

Medical Records Request

Direct Care

Pay upfront. We offer a direct care model and stay out-of-network with insurance companies to maintain flexibility in optimizing your treatment. Here's why:

Direct care

No need for insurance authorization
Next-day and same-day availability
Extended appointment time (>15 min)
Close patient-doctor relationship
Cost transparency, pay upfront
More preventive care focus

Traditional care

Restriction on doctor/treatment options
Long waiting time for next appointment
Limited to 15 min appointment
Less doctor relations (rushed care)
Unclear, hidden fees
Heavily corrective care focus

Documents for reimbursement coverage

Patients are encouraged to seek reimbursement from insurance after visit. Coverage is not guaranteed. Please check your plan details for coverage information and fill out the appropriate form to send to your insurance.

Commercial Insurance Patient Intake Form

Commercial Insurance Patient Intake Form

Medicare Patient Intake Form

Medicare Patient Intake Form

Make informed decisions for

Better health

We believe in open communication and transparent care. Get clear information about treatments, options, and costs to achieve the best outcome together.