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Ventura Pulmonary and Critical Care Medical Group
  • Home
  • About Our Practice
    • Our Mission
    • Services We Provide
    • Conditions We Treat
  • Our Physicians
    • Dr. Thomas Brugman
    • Dr. John Handley
    • Dr. Robert Bernstein
    • Dr. Amir Arfaei​
    • Dr. Jonathan LaMee
  • Patient Forms
  • Contact Us

Office Forms

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

  • Patient Information Form

  • Patient Questionnaire

  • Authorization for Release of Information

  • Acknowledgement of Financial Policy & Notice of Privacy Practices (English)

  • Acknowledgement of Financial Policy & Notice of Privacy Practices (Español)

Notice of Privacy Forms​

  • Notice of Privacy Practices (English)

  • Notice of Privacy Practices (Español)

  • Home
  • About Our Practice
    • Our Mission
    • Services We Provide
    • Conditions We Treat
  • Our Physicians
    • Dr. Thomas Brugman
    • Dr. John Handley
    • Dr. Robert Bernstein
    • Dr. Amir Arfaei​
    • Dr. Jonathan LaMee
  • Patient Forms
  • Contact Us
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