Patient Forms
New Patient Forms
Save time by filling out your forms before you come to the office.
Request Records to Dr. Chai
Request form to release your records from another provider to Dr. Chai.
Release Records from Dr. Chai
Authorization form to release your records from Dr. Chai.
Patient Forms Upload
You can now conveniently scan your patient forms and submit them to us here. Use the form here to upload your documents and submit them to our office.
NOTICE TO CONSUMERS
Medical doctors are licensed and regulated by the Medical Board of California
(800) 633-2322
www.mbc.ca.gov
Gravity Forms Upload
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