Becoming a patient in 3 easy steps



Step 1 Step 2 Step 3

Step 1: Schedule an appointment

Please call us (650) 948-8483 or e-mail the following form to losaltosacu@yahoo.com

Appointment Request Form

1) Date of request:

2) Your name:

3) Chief concern (be general):

4) Preferred phone:

5) Preferred e-mail address:

6) Preferred time(s) date(s):

7) Preferred Practitioner - if applicable (new patients only). If not specified, we will help you decide based on your Chief Concern:

8) Specify if you require response by phone only:

9) Are you a new patient?



Step 2: Fill out forms

To save time on your first visit, you may fill out the necessary paperwork beforehand and bring it with you on your visit. If you plan on using health insurance, please provide us with your information, and we will verify your coverage before your arrival. You may find the forms below or on the Forms Tab.

Patient Record & Medical History Form [pdf]

Insurance Verification Form [pdf]



Step 3: Visit

Address: 881 Fremont Avenue Suite A5, Los Altos, CA 94024 (Next to Bank of America)



Get directions by :  Google Map

General Directions:

Driving South on I-280 (San Francisco, Redwood City, Los Altos, Palo Alto): Driving North on I-280 (Cupertino, Saratoga, San Jose): Driving on CA-85: Driving on US-101 or CA-237: