210 N Jackson Ave, Suite 10 | San Jose, CA | 408.258.7000
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Office Forms

To expedite the registration process, please download and complete the following forms and bring with you to your first appointment.

  • Registration Form
  • Consent for Use and Disclosure of Protected Health Information

Authorization to release medical records FROM Dr. Hoang to another provider/facility:

  • Records FROM Dr. Hoang

Authorization to release medical records TO Dr. Hoang from another provider/facility:

  • Records TO Dr. Hoang
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