Shopping Cart
Your Cart is Empty
Quantity:
Subtotal
Taxes
Shipping
Total
There was an error with PayPalClick here to try again
CelebrateThank you for your business!You should be receiving an order confirmation from Paypal shortly.Exit Shopping Cart

Cris Calayan Abad-Santos, MD

New Patient Forms

You are requested to complete these forms prior to your initial consultation. You can download the forms, print them out, fill them out, and bring them with you to your initial consultation. If you are unable to download these forms in advance of your session, please plan on arriving 15-20 minutes early to your scheduled initial appointment so that you can fill out the paperwork prior to your first visit. Our psychiatrist will review these forms and the information you provide at your first visit, as well as answer any additional questions you may have.

Patient Information: This is a form that you can fill out that will provide your doctor with more information about you, your reasons for seeking treatment, and other relevant details prior to your first visit.

Notice of Privacy Practices: This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully and sign.

Cris Calayan Abad-Santos, MD

Psychiatrist


21900 Burbank Blvd, Suite 300

Woodland Hills, CA 91367


Tel: (818) 992-3121

        (818) 914-5072

        (747) 224-7492

Cell: (747) 227-4898

        (805) 827-5421

Fax: (888) 959-5641

Tuesdays through Fridays

10 am to 5 pm