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General Intake Forms

HIPAA Privacy of Notice Short*

HIPAA Privacy of Notice Full

Patient Agreement Form*

Medical Records Release Form

Financial Policy Form*

Patient Registration Form*

Specialty-Specific Intake Forms

Primary Care Patient History Form

Sleep Medicine Patient History Form

Obesity Medicine Patient History Form

* These forms are required for new patients to fill out. 

​Sleep Disorders
Obesity Care
Sexual Transmitted Diseases
Primary Care

420 North Garfield Avenue

Suite 203

Monterey Park, CA

91754​

626-763-1899

626-547-4438

Hours of Operation:

 

Monday

Tuesday

Wednesday

Thursday
Friday

 

Lunch Break       12:30 PM - 1:30 PM 
 

Holiday hours may vary. Please contact us for details.

8:30 AM - 5:30 PM

8:30 AM - 5:30 PM

8:30 AM - 5:30 PM

8:30 AM - 5:30 PM

8:30 AM - 5:30 PM

© 2024 by General Sleep Group. 

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