New patients can save time during their first appointment by completing the patient registration form prior to their visit. Simply complete the form online before your visit.

Share copies of your updated insurance information with Los Gatos Doc.

This authorization allows Los Gatos Doc to release confidential medical information and records. Los Gatos Doc will upload medical records to a USB Flash drive that you may pick up at the Los Gatos Doc’s office.

Authorization to release medical records requires written authorization by the patient. Please fill out the form so we may request your medical records from your previous physician, lab, or record holder.

Authorization of refusal of a recommended medical treatment based upon an understanding of the facts and implications of not following the treatment.

Please complete the COVID-19 screening questionnaire so we can assess if you have symptoms consistent with Covid.

To comply with patient confidentiality and HIPAA guidelines, Los Gatos Doc., Inc. requires a signed media waiver form before our patients can be photographed or interviewed for internal marketing and communications purposes.

Maintain your credit card information securely on file with our credit card processing partners for easy and fast payments. Your credit card will be charged upon review of the final explanation of benefits from each applicable insurance company for services provided while this agreement is in effect.

Please upload medical documents using our link here: