Returning Patient: Steps for Appointment

1. 1 Call office or send a message to request an appointment.
   • Phone: (408) 559-4343, or
   • Contact Us
2. 2Review and complete the following:
   • Medical History Form
   • Financial Policies Form
3. 3Fill out pain questionnaire (choose those that apply):
   • Pain Questionnaires
     Ankle , Elbow, Knee, Shoulder
4. 4Print and complete forms.



5. 5Return all completed patient forms to the office prior to your appointment or bring them with you for your appointment.
   • Send completed forms via postal mail:
     Grady Jeter, M.D., Attn: Veronica, 2430 Samaritan Dr, San Jose, CA 95124
   • Fax completed forms to: (408) 371-6387 Attention: Veronica