New Patients

Please complete these forms and bring them with you to your first appointment. 

Patient Registration I

 

Transferring Medical Records

Please complete the appropriate form below and we will assist you with either option. 

Outgoing Records Request Form

Incoming Records Request Form

 

Non-Descrimination Policy

NOTICE TO CONSUMERS: Medical doctors are licensed and regulated by the Medical Board of California (800-633-2322 or www.mbc.ca.gov)

Long Beach Internal Medical Group