If you are a new patient coming to our office for the first time or an established patient who was advised to update your information, please complete and submit the forms below.
Completing these forms before you come to the office will decrease the time you spend in our office filling out forms, thereby reducing your overall wait time.
After completing the demographics form, a confirmation window will appear. After accepting the confirmation, a second form will appear for medical history. Click on the following links to complete the forms:
*The Release of Medical Records form is to be used only if you need records transferred from an outside provider to our practice.
You will need Adobe Acrobat Reader to view and print the files. If it is not installed on your computer, please click the button to download.
We also accept many private PPO plans, self-insured plans, and many workers’ compensation plans.
We are primary care physicians (PCP) for Mid County and MultiCultural IPAs
Individual insurance carriers, HMOs, and PPOs vary widely in covered benefits and providers with whom they contract. Please contact your insurance carrier directly if you have any specific questions regarding your policy.
San Diego Sports Medicine & Family Health Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. San Diego Sports Medicine & Family Health Center does not exclude people or treat them differently because of race, color, national origin, age, disability, or sex.
To help people with disabilities effectively communicate with us, San Diego Sports Medicine & Family Health Center provides the following free aids and services:
If you need these services, contact San Diego Sports Medicine & Family Health Center’s office manager at (619) 229-3909.
If you need help in filing a grievance, the office manager is available to help you.
You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights, electronically through the Office for Civil Rights Complaint Portal, or by mail or phone at: