top of page
HOOTAN C. ROOZROKH, MD HOOTAN C. ROOZROKH, MD
14911 NATIONAL AVE STE 1 OFFICE (408) 688-2149 1860 EL CAMINO REAL STE 101 OFFICE (650) 419-1603
LOS GATOS, CA 95032 FAX (408) 688-2505 BURLINGAME, CA 94010 FAX (408) 688-2505
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
bottom of page