Forms, HIPAA & More

For your convenience, you can print, review and complete many required forms and other patient-related information in advance of your visit.

1. Patient Information and Patient Insurance Info
2. Patient History
3. Insurance and Financial Policies
4. HIPAA Patient Handbook: Your Information, Your Rights and Our Responsibilities
5. HIPAA Notice and Acknowledgement of Privacy Policies
6. HIPAA Short Form With Added Authorizations
7. Nondiscrimination and Accessibility Statement
8. Records Request Form for Medical Authorization

Medical Board of California ABA 583 Notices to Consumers

• Ramandeep K. Brar, MD, FACC, FHRS
• Stuart Fischer, MD, FACC, FACP, FSCAI, CCDS
• Steven T. Forman, MD, FACC, FSCAI, RVT
• Robert S. Lee, MD
• Timothy F. O’Neill, MD
• Bret A. Witter, MD, FACC, FACP
• Los Alamitos Cardiovascular Group