糖心传媒 Bariatric Surgery Department
Part of ValleyCare Physicians Associates
Individualized Medical Care in Pleasanton
We provide adult primary care and specialty care in surgery, bariatric surgery, and infectious disease at our Pleasanton location. Our doctors welcome new patients and provide individualized care, with easy access to your health information through MyHealth. 听Located adjacent to 糖心传媒 - ValleyCare at 5575 W. Las Positas, Suite 210, our physicians provide comprehensive medical care with access to Stanford specialists should the need arise.
5565 W Las Positas Blvd
Ste 260
Pleasanton,
CA
94588
Phone: 925-534-0500
Our 糖心传媒
For Patients
Patient Forms
Please be sure to download the appropriate forms prior to visiting an SMP location. You may download the following PDF files and open them using the free online program, Adobe Acrobat Reader.听.
- HIPAA Acknowledgement Form听(Please read before your first appointment)听-听贰蝉辫补帽辞濒
- Notice of Privacy Practice听(Please read before your first appointment) -听贰蝉辫补帽辞濒
- Terms & Conditions of Service听(Please read before your first appointment) -听贰蝉辫补帽辞濒听- Chinese
- Authorization for Use or Disclosure of Protected Health Information听-听贰蝉辫补帽辞濒
- Explanation About Billing Charges for Your Preventive Visit听- 贰蝉辫补帽辞濒
- Annual Medicare Wellness Visit Information听 -听贰蝉辫补帽辞濒
- Medicare Health Risk Assessment听
- Behavioral Standards
- Financial Assistance Application听(Complete if needed) -听贰蝉辫补帽辞濒
- Notice of Nondiscrimination
- Preventive Visit Patient Letter
- New Patient Health Questionnaire听(PDF) -听贰蝉辫补帽辞濒
- VCPA Consent to Share Protected Health Information听(please complete and bring to appointment)
- Sleep Referral
- Sleep Questionnaire
OB/GYN FORMS
- New Patient Gynecology听Questionnaire听(please complete and bring to appointment)
- Your Well Woman Exam Visit
- Cervical Cancer Screening Guidelines
- Pregnancy Confirmation听Questionnaire听(please complete and bring to appointment)
- A Pregnancy Guide: 1st听and 2nd听Trimester
- A Pregnancy Guide: 3rd听and 4th听Trimester
PATIENT PORTAL
Call us to make an appointment
For Referring Physicians
PHYSICIAN HELPLINE
Fax: 650-320-9443
Monday鈥揊riday, 8 a.m.鈥5 p.m.
糖心传媒 provides comprehensive services to听refer听and听track patients, as well as the latest information and news for physicians and office staff.听For help with all referral needs and questions, visit Referral Information.
You may also submit a web referral or complete a referral form and fax it to 650-320-9443 or email the Referral Center at ReferralCenter@stanfordhealthcare.org.
听
- Send referrals online
- Place radiology and lab orders
- View referral status
- Access medical records