About your Visit
Patient Forms
Insurance Information
Meet Our Physicians & Staff
In Case of an Emergency

Patient Resources

About Your Visit

On your first visit please arrive 15 minutes prior to your appointment time and have the new patient forms that you were mailed or that you downloaded from this website, completed. If your forms are not completed, you will need to arrive 30 minutes before your appointment time so that you can complete the necessary new patient forms and your new patient chart can be assembled. If your insurance requires a referral please bring it with you to your appointment.

Also have the following items with you:

  • Valid Drivers License or State ID
  • Insurance card(s)
  • List of medications you take on a regular basis, including over-the-counter medications and vitamins.
  • List of surgeries or medical procedures you have had
  • Payment for your co-pay or any non-covered services. For your convenience, we take cash, VISA, and MasterCard.

Patient Forms

Please print and fill out the forms below before your first visit with us.

Welcome Letter
Patient Registration Form
Dr. Burton’s Patient Health Questionnaire Form
Medical History Form
Medi-Cal Letter
Associates In Women's Healthcare Notice Of Privacy Practices & Receipt Of Notice Form
Our Payment Policy
Release of Medical Information Form
Records Release Form

All these forms are in PDF format and require Adobe Reader or another PDF reader. Most modern computers come with Adobe Reader installed but if you are sure that you do not have Adobe Reader on your computer click her to download for free.