New patient forms
Complete intake before your first visit. Your appointment must be confirmed separately by our staff.
Open Paubox intakeService provider: Paubox
Your next step
Forms, secure documents, and bill payment in one place.
Choose the service you need. Forms stay inside VNG pages, with their service provider named below.
Complete intake before your first visit. Your appointment must be confirmed separately by our staff.
Open Paubox intakeService provider: Paubox
Portal access and setup information for new and existing patients.
Open OnPatient PortalService provider: OnPatient
Authorize the use or disclosure of medical records using the Paubox authorization form.
Open authorizationService provider: Paubox
Patients can connect to the practice through Spruce for private, non-emergency messages. Secure in-app messages differ from ordinary SMS.
Secure Messaging / SpruceService provider: Spruce Health
Patients and referring offices can send messages, records and requested documents to our front desk through Paubox.
Open Paubox contact formService provider: Paubox
Send your medication, dosage and pharmacy information using our Paubox form. Routine processing may take 3–5 business days; approval is not automatic.
Request a refillService provider: Paubox
Have your statement ready and enter the amount shown. Contact the office if you have a question about your balance.
Open bill paymentService provider: Jotform
Send documents to our office fax number, (661) 766-3876. Required patient details and upload limits apply.
Send secure faxService provider: HumbleFax
Use your activated OnPatient account to request records. Our team may need to verify your identity and obtain an authorization.
Request medical recordsUse the portal for sensitive documents. Please do not email passwords or payment-card information.
For DMV review of a medical condition affecting driving. Complete and sign Sections 1–3, then ask your clinician to complete the medical evaluation. DMV makes the final licensing decision.
Open DMV form DS 326 ↗Official California DMV PDF · opens in a new tab
English and Spanish. Use the instructions provided for your scheduled test; confirm preparation with our office.
We strive to review your request and respond by the next business day. After sending a form, message, portal request, referral, or documents, please also call our office Monday–Friday, 8:30 a.m.–5:30 p.m. PST to follow up. Submission does not confirm, cancel, or reschedule an appointment. For urgent needs, call during office hours. For a medical emergency, call 911.