Patient Forms and Legal Notices

Please review and complete these forms and bring them with you to your first appointment.

Open Payments Database Notice

For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospitals be made available to the public. openpaymentsdata.cms.gov.

 Medical doctors are licensed and regulated by the

Medical Board of California

(800) 633-2322

www.mbc.ca.gov