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PATIENT PORTAL

FORMS

Dr. Roozrokh has included the standard office forms below for your review.  To make your visit more efficient, please take the time to fill out these forms before your visit.

Dr. Roozrokh's 
Demographic Form
Dr. Roozrokh's Release of Information & Privacy Notices
Dr. Roozrokh's Login to Practice Fusion
QUICK LINKS
Download Google Chrome (free)
Link to patient portal login for EMR (free)
Medical Dictionary (free)
ICD-10 Look up Link
CPT code look up link

VISIT US

 

14901 National Ave

Suite 201

Los Gatos, CA 95032

Call and schedule an appointment today

(408) 688-2149

CALL

 

Tel: (408) 688-2149

Fax: (408) 688-2505

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