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New Patient Forms

As your partner in health, we place the focus on you. New patients can save time during their first appointment by completing the Patient Registration form prior to their visit. Simply print out the Patient Registration form, fill in the information requested, and bring the completed form with you to your appointment.

Patient Forms

The following forms and corresponding instructions have been provided for your convenience. Please note that these forms may not be the appropriate forms for all patients in all circumstances. CLICK FOR DOWNLOAD 

New Patient Registration Form: ENGLISH

New Patient Registration Form: RUSSIAN

Medical Records Release

Records Release Authorization Form

A Patients Guide: Everything You Need to Know Before and After Bowel Surgery

Request Your Consultation

The specialists at The Surgery Group of Los Angeles are experts in their medical fields. Please provide the requested information below to request your consultation with our expert practitioners.