Policies & FormsPolicies & Forms

Office Policies

Patient Forms

You may download and print any of our forms listed below before coming to our office.  This will get you out of the waiting room and in to see the doctor quickly!  You may either bring them with you to the first visit, or if you wish, fax them to us before your appointment.

HIPPA Policy - English | Español

New Patient Information - English | Español

Medical Release - English | Inglés solamente

Office Policy - English | Inglés solamente

Pediatric Health History - English | Español

Prenatal Visit - English | Inglés solamente

Call Policy

We are a group of four board certified pediatricians who share call. After office hours, the ON CALL physician responds to emergency calls. Children needing hospitalization will be followed by our pediatric group until hospital discharge is appropriate. We are affiliated with Riverside Community Hospital and Parkview Community Hospital in the city of Riverside. Our physicians personally visit their newborn patients in the nursery within twenty four hours of delivery.

Appointment Policy

All patients are seen by appointment.  If you must cancel an appointment, please give us 24 hours notice so that we may offer the time to someone else.  Appointments for sport and well-baby physicals can be made by phone during business hours.  Sick patients are welcomed to request same day appointments.  We encourage you to drop off the forms that need to be filed during our business hours.  Please allow our physicians 24-48 hours to complete your requests.  Medication refill requests are taken daily during business hours; please realize that our physicians will not refill medications during the weekend.  All immunizations required by State of California are available at our office.  We have services for our Spanish-speaking patients as well.