805-578-9620
Contact Information
Alta California
Medical Group, Inc.
Address:
2925 N. Sycamore Dr.,
Suite 204 & 205
Simi Valley, CA 93065
Telephone:
805-578-9620
Fax:
805-583-0179
Hours:
Monday – Friday
8:30 A.M. – 5:30.P.M.
Saturday
9 A.M. – Noon
Patient Forms/Contact Us
For your convenience, we ask that you complete these forms before your first appointment. Make sure to bring a photo ID and Insurance card as well. Please click on the link below, print the forms and fill them out before coming in.
- HIPPA
- Patient Information Sheet
- Patient History Form
- Medical Record Release Form
- Pediatric
- Spanish versions
You will need Adobe Reader to view and print our forms. If you don’t have it, you may download it here.
Questions or Comments?
Please complete the form below and it will be directed to the appropriate person within the office.
Please note: This email should only be used for general information about our office, NOT for any emergency purposes and NOT for any specific personal medical questions. If you are experiencing a life-threatening emergency, please dial 911. Non-emergency medical questions should be directed to our telephone number listed to the right.
