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To schedule an appointment:

Main Office:
map 130 Bellerose Drive
San Jose, CA 95128
408-286-1707


Mountain View Office:
map 2500 Hospital Drive
Bldg. 11-B
Mt. View, CA 94040
650-966-8201


Los Gatos Office:
map 14981 National Ave.
Suite 3
Los Gatos, CA 95032
408-358-1771

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Patient Registration

For new and current patients with new information, you may download, print, fill out, and sign the Patient Registration Form and bring it in at the time of your visit. This will save time for you and our office staff.

 

Acknowledgement of Receipt of Privacy Practice

If you are a new or current patient, please read our Acknowledgement of Receipt of Privacy Practice Form. The form may be downloaded and printed if you need a paper copy. For your convenience, you may sign the Acknowledgement of Receipt of Privacy Practice Form and bring it in at the time of your visit.

 

Medical Questionnaire

For new patients, you may download, print and fill out this form and bring it in at the time of your visit. This will save time for you and our staff.

 

Acknowledgement of Financial Policy

Please read and sign the Acknowledgement of Financial Policy. This includes the Appointment Cancellation & Insurance Coverage Policies.

 

The above documents and forms are in Adobe Acrobat (pdf) format. You can download a free copy of Adobe Reader from Adobe.

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Phone: 408-286-1707    Chinese Hotline: 408-286-1072
© 2015 South Bay Allergy and Asthma Group. A Medical Corporation. All rights reserved.
Anlin Xu, M.D. Theodore J. Chu, M.D.