New Patient Paperwork

We Care About Your Family’s Health


To schedule an appointment with one of our concierge care specialists, please call 310.375.1393.

New Patient Forms

If you have made your initial appointment, you can preregister by clicking on the links below to download our new patient forms. Please print and complete the forms prior to your arrival. This will help speed up the new patient registration process.

New Patient Appointment Checklist
New Patient Registration Form
Skypark Health Questionnaire
Medical Records Release
Patient Health Questionnaire


Call our office if you have questions about billing and we will be happy to assist you.

Notice To Patients Open Payments Database

For informational purposes only, a link to the federal Centers for Medicare and Medicaid Services (CMS) Open Payments web page is provided here. The federal Physician Payments Sunshine Act requires that detailed information about payment and other payments of value worth over ten dollars ($10) from manufacturers of drugs, medical devices, and biologics to physicians and teaching hospital be made available to the public. You may search this federal database for payments made to physicians and teaching hospitals by visiting this website:

For more information about the programs and services at our family medicine clinic, call us at 310.375.1393. Visit us if you are a resident of Rolling Hills, Redondo Beach, Hermosa Beach, Manhattan Beach, Torrance, Palos Verdes or adjacent locations in the South Bay.

Video Gallery

Welcome to Skypark Preferred Family Care

The Principles of Living Longer

What Are the Benefits of Concierge Medicine?

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