✓ Most Insurances
✓ Most HMOs
✓ Cash Patients
Download and fill out forms before your office visit.
FOR EMERGENCIES, DIAL 911
Please download, print, and fill out the following 4 page patient intake form.
The form is a PDF file that you can fill out on your computer and print, or you can print it first and then fill it out by hand with a pen.
Please bring your completed form with you to your initial office visit with Dr. Tieng.