Listed below are commonly used forms for our office. Please mail these forms one week prior to your appointment to:
Roy Medical Associates, Inc.
5601 Norris Canyon Road, Suite 340
San Ramon, CA 94583
Or send them via FAX at least 24 hours prior to your appointment to:
You may also bring them with you at the time of your appointment
All new patients to Roy Medical Associates, Inc. must complete this form.
These are our current Office and Financial Policies. Please review them; all patients sign on the registration form that they have read, acknowledge, and agree to these policies. Commonly referred to as the HIPAA notice, as required by the Health Insurance Portability and Accountability Act.
This notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review carefully.
If we require records from your former physician, you will be asked to complete a Records Release form at your next visit. If you would like copies of your records due to a physician transfer or for your personal records, please refer to the Medical Records page on this website for the current fees and policies associated with records requests.