New Patient Forms

If you are a new patient please download the files below.

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Instructions for use:

1. Email a picture of the front and back of your insurance card together with the patient name and date of birth. In the subject line include your last name and birthdate.
   Send to: sandra@flatonaddeptcenter.com, cc: drflaton@flatonaddeptcenter.com. 

2. Text Dr. Flaton at 805-545-8500 to let her know it has been sent.  She will contact you once the biller has reviewed your insurance information.

3. Please download all files below

   1. Print each of the files

   2. Complete front and back of each document, and initial all lines on the Agreement & Consent form

   3. Please scan the completed forms and return them to us via fax

   4. Once we have received the completed forms, we will contact you within two business days to schedule an appointment