Please print and fill out the following forms and bring them with you together with your insurance card to your scheduled appointment.
Patient Information Sheet Please fill out the form. Sign where is requested. At the bottom of the form please indicate up to 2 people (not including your physicians) to whom we are authorized to discuss your medical information with and sign. If there is not one that you authorize, just write "NO ONE", sign and date.
Patient History Form Fill out the forms regarding your medical history as thorough as possible. At the front of the page, please indicate your reason to see Dr. Sheng under Reason Visiting this Office.
Medication Sheet Please read the policy, sign and date where it applies to your visit.
On the second page, please fill out your name, sign and date and bring this with you to your appointment. This form indicates your acknowledgment of the privacy practice.
