Forms

To save time on your first visit, you may fill out the necessary paperwork beforehand and bring it with you on your visit. 

If you plan on using health insurance, please provide us with your information (please email us the "insurance verification form" ahead of time), and we will verify your coverage before your arrival. 


Patient Record & Medical History Form - PDF


Insurance Verification Form - PDF

Location

827 Altos Oaks Dr, #4, Los Altos, CA, Los Altos, CA 94024

Phone: (408) 221-6458

Mobile: (408) 221-6458

Email: [email protected]oo.com

Fax: (650) 228-1528

  • MON: Closed
  • TUE: 8:00 am - 2:30 pm
  • WED: 10:00 am - 7:00 pm
  • THU: Closed
  • FRI: 10:00 am - 7:00 pm
  • SAT: 9:00 am - 2:00 pm
  • SUN: Closed
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