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Forms & General Information |
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Ask the providers listed below for a free copy of your imaging on a CD. If it is for one of our physicians, 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.
For Chest X-Ray, CT Scan, or Nuclear Medicine El Camino Hospital Radiology 2500 Grant Rd., Mountain View - (650) 940-7044 - or - VRI - Valley Radiologists Medical Group http://www.valleyimaging.com/
For Mammogram or Breast Ultrasound El Camino Hospital Breast Center Willow Pavillion, 2500 Grant Rd, Mountain View - (650) 940-8295 - or - VRI - Valley Radiologists Medical Group http://www.valleyimaging.com/ 285 South Dr., #5, Mountain View - (650) 967-1331
For Breast MRI Los Gatos or Stanford
For PET Scan 2211 Moorpark Avenue Suite 220 San Jose, CA 95128 408 297-8844 408 297-8220 fax http://www.pet-imaging.org/zportal/portals/pat/
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Diagnostic Imaging |
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Patient Information Click this link. Print & fill out. Bring to your first appointment. Health Questionnaire Click this link. Print & fill out. Bring to your first appointment. Breast Health Questionnaire. Click this link. Print & fill out. Bring to your first appointment.
American Cancer Society Registration Request for Medical Information |
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Forms |
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We accept cash/checks/Visa/Mastercard for co-payment. Please check with the office regarding insurances accepted. For services performed on or before Nov 30, 2007 call Valerie at 650 940 1410 For services performed after Dec 1, 2007 call Cooki/Carla at 650 401 8513
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Billing |

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Comprehensive Cancer Surgery and Treatment |
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Cancer Surgery and Advanced General Surgery |

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2490 Hospital Dr, #111 |
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Phone: (650) 641-7861 Fax: (888) 372-4749 |
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Second Opinions
We perform many second opinions if insurance is available it will be billed. If not, a fee for service will be charged. Please check with the staff. We will need all the information for a new patient visit at the time of consultation. |