Dr. Desai’s Patient Forms

New Patients & Existing Patients of Dr. Desai

New Patients


Please read the information below prior to completing your forms

  • Please fill out forms in pen, NO PENCIL
  •  Please print single sided so that they will work well with our charts
  • These forms need to be filled out completely at least 2 weeks prior to the appointment and mailed or dropped off at the office. Please don’t fax the forms

East/ West Integrated Medicine has a 48 hour weekday cancellation policy. This means Monday appointments need to be cancelled no later than Thursday at 3pm.

New Patient forms

Children under 12 New Patient Forms

 

 

Existing Patients


  • Patient Follow-up
    • If you have a phone appointment scheduled with Dr. Desai, please download this form and either scan and email or fax prior to appointment

 

Leave a Reply

Your email address will not be published. Required fields are marked *