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    632 W. 11th St.

    Suite 119

    Tracy, CA 95376

    Phone: (209) 229-3700
    Fax: (209) 229-3755

    Larry J. Lo M.D., INC

    Obstetrics & Gynecology

    MAKE AN APPOINTMENT

    Larry J. Lo, M.D., INC.

    632 W. 11th St., Suite 119

    Tracy, CA 95376

    For Life-Threatening Emergencies Call 911

    © 2015 by Larry J. Lo, M.D., INC. Proudly created with Wix.com

    Thank you for choosing Dr. Larry J. Lo!
    Please download the New Patient Packet below and follow the instructions within.  

    Click the Icons to download the files.

    For the most up-to-date information contact our office directly at 209-229-3700

    New Patients

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    New Patient Packet

    February 24, 2016

    Our New Patient Packet (N.P.P) includes the instructions for completion and all forms that require a signature.  Just print and complete! Sorry, no digital signatures will be accepted.

    Health Questionnaire

    January 31, 2014

    Please complete this form (H.Q.F) to provide Dr. Lo with the most up-to-date and accurate health history information.  This form can be completed on the computer and then printed for your convenience.

    HIPAA Notice of Privacy Practices

    January 31, 2014

    The Health Insurance Portability and Accountability Act of 1996 (HIPAA) has been essential for protection patients personal health information.  Please review this file and sign the Receipt of HIPAA Privacy Practices Notification in the New Patient Packet.

     

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