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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


Samaritan Drive Office:
map 2505 Samaritan Drive, Suite 407
San Jose, CA 95124
408-358-1771

Specializing in Diagnosis & Treatment of Allergies & Asthma in Children & Adults

 

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.

 

Appointment Cancellation & Insurance Coverage Policy

Please read our Appointment Cancellation & Insurance Coverage Policy.

 

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
© 2011 South Bay Allergy and Asthma Group. A Medical Corporation. All rights reserved.
Anlin Xu, M.D. Theodore J. Chu, M.D.