Thank you for choosing Bay Area Pediatric Surgeons. We are available to meet with you and your family for a surgical consultation during office hours, by appointment. During this consultation, we will examine your child, review relevant radiologic studies, discuss surgical options, and answer any questions you may have. Together, we will develop an individualized plan to meet the needs of your child.
What to bring to your appointment
It is important that you bring the following with you when you come to see us for your child's appointment:
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A list of your child's current medications and the dosages your child is taking. You may bring the bottles or containers with you to your first appointment.
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A CD of all your medical tests and medical imaging studies that were done at an outside facility (X-Ray, Ultrasound, CT scan, MRI with the dictated report, etc.).
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The name, address and telephone number of your physician who referred your child and your primary care provider if they are different.
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Your child's health insurance card and Medicare/Medi-Cal card (if applicable).
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Any additional documents you were asked to bring with you.
Forms and Paperwork
Please arrive at least 15 minutes prior to your appointment in order to allow time for filling out the required paperwork. You will be given the following upon arrival:
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Patient Detail Information Record – Name, address, contact information, insurance info, etc.
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Patient Pain Screening Record
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List of current medications
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Notice of Privacy Practices Acknowledgement of Receipt – signed to acknowledge receipt of the Notice of Privacy Practices [PDF]
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Terms and Conditions of Service: Admission, Medical Services, and Financial Agreement
Scheduling your surgery
If you and the surgeon have decided to proceed with surgery, you will need to speak with our surgery scheduler, Brian Forman at (415) 476-2539. Brian will provide you with the location, date and time for the surgery as well as pre-operative fasting instructions.