Patient Forms
Access the forms you may need before or after your visit. Select a form below to view, download, or complete it as applicable.
Request Medical Records
To request copies of your medical records, including either notes or images (X-rays, MRI scans, etc.) please complete an Authorization for Release of Medical Information form. Thank you.
Credit Card Form
This form can be used to enter your credit card details and send to us to make a payment.
Patient Policies & Notices
Privacy Notice
Please read THIS PRIVACY PRACTICES PDF then download and sign the Privacy Receipt form from the link below. Please bring the completed form with you to your appointment to avoid any delays for yourself or other patients. Thank you!
Patient Financial Policy
Please download the Financial Policy form, read, and sign it. Please bring your completed form with you when you check in to avoid any delays for yourself or other patients. Thank you!
Questions?
If you have any questions about being or becoming a patient at Golden State Orthopedics & Spine, please call one of our local patient contact centers in the city closest to you. Our telephone support staff are always ready to help.
Dublin Patient Contact Center
(800) 943-8099
Los Gatos Patient Contact Center
(408) 412-8100
Oakland Patient Contact Center
(800) 943-8099
Walnut Creek Patient Contact Center
(925) 939-8585