Information for Patients

If you would like to save time, please print, fill out and bring with you the following form during your next visit:

Patient Information Form - in Chinese

Patient Information Form - in Spanish

Review of Systems Form

This is a fill-in PDF form, so you can fill it out on your computer, then print:

Patient Health Information Form in English 

First Appointment Paperwork

Welcome to First Surgical Consultants. If this is your initial consult with our office then we would like to take the time to introduce some of the office policies. We hope that these policies will answer your questions and concerns and will make your experience pleasant and comfortable.

1. Please make sure that you provide us with your correct contact and insurance information during your visit. This will help prevent any delays in your care and with surgery scheduling. This will also help prevent any unnecessary billing issues.

2. Co-payment is required for each office visit. No co-payment is required for 90 days following surgery.

3. Please be aware that our surgeons not only treat patients in their medical office, but they also treat hospital patients and perform hospital surgeries. Sometimes office visits may be delayed or rescheduled due to unforeseen circumstances, i.e., hospital emergencies.

4. We have several different office locations for your convenience: Alameda, Berkeley, Chinatown office, Hayward and our main office in Oakland.

5. California Disability forms and extension forms are free of charge. There is a $25.00 fee for Medical Leave Forms, Life Insurance Forms and any other additional forms that need to be filled out by our office.  All forms are to be completed by the Physician after your surgery date. Some of these forms require information that will not be determined until after your surgery date. We can accommodate you with a doctor’s note regarding necessary time off.

6. If your insurance is an HMO/Medi-Cal (Alameda Alliance or CHCN), patients are required to have a referral from a Primary Care Physician. If no referral is received your appointment may be rescheduled.

7. First Surgical Consultants will apply a non-refundable $50.00 charge for a patients who fail to cancel their surgery 3 days prior to scheduled surgery date.

If you have any additional questions or concerns please contact our office and we will do our best to assist you in the best possible way. We are glad that you have chosen our group to assist you with your care.

Thank you! 

First Surgical Office Locations

Oakland Office
365 Hawthorne Ave, #101
Oakland, Ca 94609
Ph# 510-465-5523
Fax# 510-832-6061

Berkeley Office
2999 Regent St #700
Berkeley, Ca 94705
Ph# 510-486-0818
Fax# 510-486-0819

Hayward Office
27001 Calaroga Ave, #4
Hayward, Ca 94544
Ph# 510-732-5731
Fax# 510-732-5739

Chinatown Office
388 9th St #218B
Oakland, Ca 94607
Ph# 510-839-0298 
Fax# 510-839-4389

Bariatrics Office (Summit South)
3100 Summit St, #2600
Oakland, Ca 94609
Ph# 510-869-8972
Fax# 510-869-6989

Comprehensive Cancer Center
2001 Dwight Way
Berkeley, CA 94704
Ph# 510-204-1634
Fax# 510-204-5749