Online New Patient Special: $340 Exam & X-RaysBook Now
1305 N Bascom Ave #C, San Jose, CA 95128
(408) 985-1111

New Patient Intake Forms

A few minutes now means more time for your care later.

Why we ask you to fill these out first

Completing your intake paperwork before you arrive lets our doctors review your health history ahead of time, so your first appointment is spent on you, not on a clipboard. It also helps us tailor your exam to what's actually going on.

How to complete your forms

When you book, our team will send your intake forms by email or text so you can fill them out from your phone or computer. Prefer paper? Just arrive 15 minutes early and we'll have everything ready at the front desk.

What to have handy

  • Photo ID and insurance card (if using insurance)
  • A list of current medications and supplements
  • Details of any past injuries, surgeries, or imaging
  • Notes on what brought you in and your goals