Prior to your appointment, please download, print, and complete the following patient forms in the comfort and privacy of your home. You will need to upload the completed forms, a picture ID, and a copy of your current insurance card before we are able to schedule an appointment.
Note: We do not accept United Healthcare Medicare Advantage Plans, Cigna Medicare Advantage Plans or plans that we are considered as an Out-of-Network provider.
For all HMO plans, you must designate Dr. Pho as the Primary Care Provider before being seen.
- Patient Registration
- Patient Medical History
- Patient Consent Form
- Telemedicine Informed Consent Form
Securely upload your completed forms below.