NEW PATIENT INFORMATION
Welcome
to California Hematology Oncology Medical Group.
To
schedule an appointment, please contact our New Patient Coordinator
(310)
649-7234
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Step 1: Print Medical
History Form. Requires Adobe. This option is for patients who
have already provided their information via telephone to our New Patient
Coordinator. Please bring this packet with you to your appointment.
Once you have printed this form, you may need to hit the "BACK" button
on your browser to return to this page.
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Step 2: Fill out the Online Patient
Information Form and your information will be submitted electronically, via
a secure server. This form takes approximately 5-10 minutes to
complete.
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