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Patient Registration

Patient Registration

"You may preregister with our office by filling out our secure online Patient Registration Form. After you have completed the form, please make sure to press the Submit button at the bottom to automatically send us your information. The security and privacy of your personal data is one of our primary concerns and we have taken every precaution to protect it."

Serving the following nearby locations

Location

515 South Dr #17, Mountain View, CA 94040

Phone: (650) 567-9000

Fax: (650) 567-9078

Office Hours

MON Closed

TUE - FRI 8:30 am - 5:00 pm

SAT 8:00 am - 1:00 pm

SUN Closed

Get in Touch

Email: gspd@doctorfazilat.com

Fax: (650) 567-9000