For Your Appointment
In order to facilitate your registration process and to make your visit to see us more convenient, you may download and complete your registration, medical history, and notice of privacy practices forms before your first visit.
Please click below to download and print individual patient registration forms.
- Registration Form.pdf
- History & Physical.pdf
- HIPAA Form & Acknowledgement.pdf
- Photography Consent Form.pdf
For your convenience and ease of printing, we have combined the documents listed above into one:
Directions to our office
Take 101 North to the Morro Bay/Hearst Castle Exit (Hwy 1). As you come off the exit, continue heading straight on to Toro Street. The first street you come to is Peach Street, turn left. We are located in the middle of the block on the left. There is a driveway that goes down the side of the building to our back parking lot. Come up the stairs in between the buildings and turn right. You will see Suite D on the right.
Take 101 South to the Santa Rosa Street Exit. The exit lets you out on to Olive Street. Turn right on to Santa Rosa Street. Drive two blocks to Peach Street and turn left. We are one and a half blocks down on the left side. There is a driveway that goes down the side of the building to our back parking lot. Come up the stairs in between the buildings and turn right. You will see Suite D on the right.
Notice of Privacy Practices (Medical)
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
The Health Insurance Portability & Accountability Act of 1996 (“HIPAA”) is a federal program that requires that all medical records and other individually identifiable health information used or disclosed by us in any form, whether electronically, on paper, or orally, are kept properly confidential. This Act gives you, the patient, significant new rights to understand and control how your health information is used. “HIPAA” provides penalties for covered entities that misuse personal health information.