Dr. Shyamali Singhal - Surgical Oncologist - General Surgeon - 650-641-7861
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New Patient Instructions and Forms for First Visit

Preparation for your First Visit
Please arrive 15 minutes early to complete patient information forms

Please bring to your first appointment
1) Physician records
2) Imaging such as CT scans, mammogram, colonoscopy. (See below.)
3) Pathology report
4) List of medications
5) Registration forms
6) Health Questionnaires

Registration Forms — Please print, fill out now & bring to first appointment
New: Pre-register online if you are a new patient

Registration Forms
patient_forms_-_general.pdf
File Size: 593 kb
File Type: pdf
Download File

Registration Forms
with Breast Questionnaire
(for patients who are
being treated in the
breast area)
patient_forms_-_wbreastsurvey.pdf
File Size: 743 kb
File Type: pdf
Download File

Please note: These documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.
Second Opinions
We provide second opinions. If insurance is available it will be billed; if not, a fee for service will be charged in advance. Please check with the staff.  We will need all the information for a new patient visit at the time of consultation.  Click here for more information about the cost of a second opinion.

Diagnostic Imaging
Ask the imaging providers listed below for a free copy of your imaging on a CD. Because the copy is for Dr Singhal, they should give you the CD for free.  Bring the CD with you on your first visit to our office.  Please bring mammograms with you to your first appointment.

See Patient Forms and Information - Useful Addresses for a list of imaging and clinical lab locations
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