Please download, read, and sign the Registration, Office Policies and HIPAA forms located below, and bring these forms with you to your appointment. This will expedite the check-in process. Feel free to email these completed / signed forms to us prior to your appointment:  info@drchueyemd.com
Please use Acrobat Reader to open the forms.

 

 

Registration Form

Patient Registration Form
Please download the form and open with Adobe Reader
PT REG.pdf
Adobe Acrobat document [35.2 KB]

Office Policies

Office Policies - English
Office Policies.pdf
Adobe Acrobat document [36.9 KB]
Office Policies - Chinese
Office Policies Chinese.pdf
Adobe Acrobat document [412.8 KB]

HIPAA

HIPAA Policies
HIPAA.pdf
Adobe Acrobat document [30.7 KB]