Call Us:  650-988-7530

Patient Forms

New and Returning Patients


For your convenience, we have provided all patient forms below to minimize your wait time during your office visit.

You can download, print, and complete these forms at home prior to coming to our office. 


If you have any questions about which forms you should use, please contact our office staff at 650-988-7530.




                                                       





Please note all forms are in PDF format. If you do not have Adobe® Reader® on your computer, you can download it for free by clicking here.



If you are new to our practice or have not been seen for over a year, please come early to allow time to fill out necessary paperwork. 

  • Bring a written list of all of your current medications or put them in a paper bag and bring them along with you.
  • Write down a list of all prior major illnesses, operations, hospitalizations, and medical allergies.
  • Be aware of what illnesses run in your family.
  • Don't forget to bring your insurance cards with you.


New Patients Only:






All Patients - New & Returning:






Patient Resources


At Silicon Valley Gastroenterology, we want to help our patients become informed about the causes, diagnosis, and treatment of gastrointestinal disorders. After all, the more you know about your condition, the easier it will be for you understand and follow your physician’s advice. The information below covers some of the questions patients have about the most frequently occurring gastrointestinal problems, what to expect during an appointment and how to prepare for your visit.

Preparing for your visit


During your first visit, you will be asked to register at our reception desk and to fill out a comprehensive health history questionnaire (if you have not already printed and completed the Patient Forms prior to your appointment).

The receptionist will verify that we have your current address and contact information.  She will also need to review your current insurance information, so be sure to bring your insurance cards with you.

You will then be taken to the nurses' station where your vital signs will be recorded. Most patients will be asked to partially disrobe and put on a paper examination gown.

The physician or physician assistant will then interview you and perform a focused physical examination. Depending on the problem, this may include listening to the lungs/heart, and examining the abdomen.

​When appropriate, a simple digital rectal examination is performed. (This requires no preparation and only takes a few seconds.) After you are dressed, the doctor will join you to discuss his assessment of the situation and what tests may be needed. Should you wish, you are welcome to bring along a family member or friend to join you for this discussion.